Northwest Arkansas Center for Plastic Surgery, LTD.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

E-6144 Issued in AR

Legal business name

NORTHWEST ARKANSAS CENTER FOR PLASTIC SURGERY, LTD.

Practice address

3721 South Champion Dr
Rogers, AR 72758-7275

Phone

(479) 571-3100

Fax

(479) 571-3101

NPI assigned

Jul 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David Heath Stacey, MDNPI 1740245893

Title

President

Phone

(479) 571-3100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Heath Stacey, M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Rogers, AR
  • NPI 1740245893
  Medicare reassignment Authorized official
• Wilson Huett, MD

  • Plastic Surgery Physician
  • Rogers, AR
  • NPI 1902301245
  Medicare reassignment NPD (past)
• Winifer Collins Smith, RN

  • Registered Nurse
  • Rogers, AR
  • NPI 1922976620
  NPD (past)

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1396057758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 SOUTH CHAMPION DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72758",
            "telephone_number": "479-571-3100",
            "fax_number": "479-571-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 SOUTH CHAMPION DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727587275",
            "telephone_number": "479-571-3100",
            "fax_number": "479-571-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS CENTER FOR PLASTIC SURGERY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-571-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AR",
            "license": "E-6144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keely Renee Norman, PT, DPT, MTC
• Wesley Edward Northey IV, PT, DPT
• Northpoint Radiation Center GP LLC
• Northwest Arkansas Allergy and Asthma Clinic
• Northwest Arkansas Breast Care Specialists, LTD.
• Northwest Arkansas Head Start
• Northwest Arkansas Pediatric Dental Center
• Northwest Arkansas Psychotherapy, PLLC
• Northwest Chiropractic and Rehab, P.a.
• Crystal Norton, D.D.S.

• Plastic Surgery Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Plastic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.