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MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS NPI 1720012511


NPI Information

NPI: 1720012511
Provider Name: MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS

Doing Business As: OZARK UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 04D1101535

Address:
3336 N FUTRALL DR
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 444-8827
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MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS 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. MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS NPI is 1720012511. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ozark Urology.

The provider's business location address is:

3336 N FUTRALL DR
FAYETTEVILLE, AR
ZIP 72703-057
Phone: (479) 444-8827
Fax: (479) 444-7310

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 CLIA number assigned to this NPI record is 04D1101535 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/10/2006 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 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
1161879002MEDICAIDARKANSAS
2100726870CMEDICAIDOKLAHOMA
35F590OTHERARKANSASAR BC/BS

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

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