Provider Type Icon

NORTHWEST ARKANSAS UROLOGY ASSOCIATES P.A. NPI 1699732651


NPI Information

NPI: 1699732651
Provider Name: NORTHWEST ARKANSAS UROLOGY ASSOCIATES, P.A.
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 04D0468676

Address:
1300 E ZION RD
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-8980
Get Directions

NORTHWEST ARKANSAS UROLOGY ASSOCIATES, P.A. is an urology in Fayetteville, AR. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NORTHWEST ARKANSAS UROLOGY ASSOCIATES, P.A. NPI is 1699732651. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1300 E ZION RD
FAYETTEVILLE, AR
ZIP 72703-015
Phone: (479) 521-8980
Fax: (479) 521-8982

The provider's authorized official is Michael R Wilson .
The authorized official title is Secretary and has the following contact phone number (479) 521-8980.

The CLIA number assigned to this NPI record is 04D0468676 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/26/2006 and was last updated on 9/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
156690MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2106298002MEDICAIDARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.