Northhills Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NORTHHILLS DERMATOLOGY

Practice address

3256 N Northhills Blvd
Fayetteville, AR 72703

Phone

(479) 442-4617

Fax

(479) 442-6544

NPI assigned

Apr 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robbin Lee Raeber

Title

Office Manager

Phone

(479) 442-4617

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wendell Weller Weed, MD

  • Dermatology Physician
  • Fayetteville, AR
  • NPI 1932154606
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306061031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-442-4617",
            "fax_number": "479-442-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-442-4617",
            "fax_number": "479-442-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHHILLS DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAEBER",
        "authorized_official_first_name": "ROBBIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-442-4617"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chetapon Nopachinda, DPM
• Sherrie Lynn Norbash, M.S.
• Ashley Nordman
• Jason Nordstrom, MS, CCC-SLP
• North Hills Surgery Center, LLC (North Hills Surgery Center)
• Northport Health Services of Arkansas, LLC (Fayetteville Health & Rehabilitation Center)
• Northstar Partnering Group, LLC
• Northwest Arkansas Assessment and Therapy Services, PLLC (Nwaats, PLLC)
• Northwest Arkansas Center for Autism & Developmental Disabilities
• Northwest Arkansas Endodontic Specialists, PA

• Dermatology Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Dermatology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.