MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
NPI 1386695427
Pediatrics in Fayetteville, AR
NPI Status: Active since May 13, 2006
Contact Information
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 442-7322
Fax: (479) 442-7379
- Organization
- Pediatrics
- CLIA Number: 04D0936597
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-21-2027
About MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
This page provides the complete NPI Profile along with additional information for Medical Associates Of Northwest Arkansas Pa, a pediatrician established in Fayetteville, Arkansas operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1386695427 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated April 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's
- NPI
- 1386695427
- Provider Legal Name
- MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703
- Location Phone
- (479) 442-7322
- Location Fax
- (479) 442-7379
- Mailing Address
- PO BOX 1523 FAYETTEVILLE, AR 72702
- Mailing Phone
- (479) 571-6038
- Mailing Fax
- (479) 442-7379
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-13-2006
- Last Update Date
- 04-11-2025
- Code Navigator
A pediatrician like Medical Associates Of Northwest Arkansas Pa is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 155663002 | MEDICAID (05) | AR | |
| 57547 | OTHER (01) | AR | AR BC/BS |
| 100726870B | MEDICAID (05) | OK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D0936597
- Facility Type
- Physician Office
- Certificate Effective Date
- June 22, 2025
- Certificate Expiration Date
- June 21, 2027
- Laboratory Director
- BRENT SILVEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medical Associates Of Northwest Arkansas Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 8 | 6 | 6 | 9 | 5 | 4 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 12 | 9 | 10 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 2 + 9 + 1 + 0 + 4 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1386695427 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205385630 | WILBY M SIEGLER APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 571-6363 |
| 1023053733 | LAUREEN J. BENAFIELD MD Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1881620821 | DR. JOE T ROBINSON MD Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1053355875 | SEAN M. LIVINGSTON MD Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1073558052 | CHARLES S. BALL MD Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1508800665 | CHARLES DAVID JACKSON MD Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1811977416 | DR. JOSEPHINE H. PARK M.D. Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1972539914 | DR. TERRY S PAYTON MD Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1750318796 | ALLISON LYNN SCOTT APN Individual | Nurse Practitioner | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1487936985 | SARAH M MANN NP Individual | Nurse Practitioner (Family) | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1083669329 | ORRIN J DAVIS MD Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1154784320 | GRANT M GAINES MD Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1255726097 | DR. KODY A NICHOLS M.D. Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1528481868 | FINES LEVI HUDSON PA-C Individual | Physician Assistant (Medical) | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1831728542 | MATTHEW S BRADLEY MD Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1265127674 | NANCY JONES APRN Individual | Nurse Practitioner (Pediatrics) | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1447385398 | YVONNE PAULETTE COUCH APRN Individual | Nurse Practitioner (Pediatrics) | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1033326434 | VIRGINIA LEE THOMAS M.D. Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1225006737 | MR. JAMES S. SWINDLE M.D. Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
| 1285808121 | DR. ANDREW M. KOEHLER M.D. Individual | Pediatrics | 3380 N FUTRALL DR STE 1 FAYETTEVILLE, AR 72703 (479) 442-7322 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386695427, enumerated in the NPI registry as an "organization" on May 13, 2006
The provider is located at 3380 N Futrall Dr Ste 1 Fayetteville, Ar 72703 and the phone number is (479) 442-7322
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 04D0936597 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.