MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA NPI 1134170160

NPI Information

NPI: 1134170160
Provider Name: MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

Other Name: IMAGING ASSOCIATES OF NORTHWEST ARKANSAS

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
55 W SUNBRIDGE DR
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 442-6266
Get Directions

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA is a diagnostic radiology radiology in Fayetteville, AR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA NPI is 1134170160. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Imaging Associates Of Northwest Arkansas.

The provider's business location address is:

55 W SUNBRIDGE DR
FAYETTEVILLE, AR
ZIP 72703-825
Phone: (479) 442-6266
Fax: (479) 521-3877

The provider's authorized official is Terry Hurt .
The authorized official title is Cfo and has the following contact phone number (479) 571-6780.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 1/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	156717002	MEDICAID	ARKANSAS
2	200016360A	MEDICAID	OKLAHOMA
3	5C912	OTHER	ARKANSAS	AR BLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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