WADE FALWELL M.D.P.A. NPI 1073636551

NPI Information

NPI: 1073636551
Provider Name: WADE FALWELL, M.D.,P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2000 MCLAIN ST
SUITE G
NEWPORT, AR
ZIP 72112
Phone: (870) 523-3053
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WADE FALWELL, M.D.,P.A. is a primary care clinic center in Newport, AR. WADE FALWELL, M.D.,P.A. NPI is 1073636551. The provider is registered as an organization entity type.

The provider's business location address is:

2000 MCLAIN ST
SUITE G
NEWPORT, AR
ZIP 72112-661
Phone: (870) 523-3053
Fax: (870) 523-3637

The provider's authorized official is Debra K Falwell .
The authorized official title is Office Manager and has the following contact phone number (870) 523-3053.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 6/20/2012.

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	261QP2300X	Clinic/Center	Primary Care	207Q00000X	ARKANSAS	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	080017871	OTHER	ARKANSAS	RAILROAD MEDICARE
2	50313	OTHER	ARKANSAS	ARKANSAS BLUECROSS
3	C67798	MEDICARE UPIN	ARKANSAS
4	50313	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS
5	1458600000	OTHER	ARKANSAS	QUALCHOICE
6	=========	OTHER	ARKANSAS	TAX ID
7	117464002	MEDICAID	ARKANSAS
8	114224001	MEDICAID	ARKANSAS

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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