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ENT AND ALLERGY CENTER PA NPI 1881690238


NPI Information

NPI: 1881690238
Provider Name: ENT AND ALLERGY CENTER, PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2100 N GREEN ACRES RD
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-0455
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ENT AND ALLERGY CENTER, PA is a specialist in Fayetteville, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ENT AND ALLERGY CENTER, PA NPI is 1881690238. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 N GREEN ACRES RD
FAYETTEVILLE, AR
ZIP 72703-807
Phone: (479) 521-0455
Fax: (479) 444-9722

The provider's authorized official is Steve Cashman .
The authorized official title is Owner President and has the following contact phone number (479) 521-0455.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 7/17/2017.


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
1174400000XSpecialistMC2362ARKANSASYes

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
1164139002MEDICAIDARKANSAS
2MC2362OTHERARKANSASMEDICAL LICENSE
35C169MEDICARE PINARKANSAS
46084740001MEDICARE NSCARKANSAS

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.