Active NPI
Powell Orthopedics, PA
- Orthopaedic Surgery Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- POWELL ORTHOPEDICS, PA
- Practice address
- 1450 E Zion Rd Ste 6&10
Fayetteville, AR 72703-5041 - Phone
- (479) 582-4647
- Fax
- (479) 582-4660
- NPI assigned
- Jan 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Wilson Powell, MD
- Title
- President
- Phone
- (479) 582-4647
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1450 E Zion Rd Ste 6&10
Fayetteville, AR 72703-5041
Mailing address
PO Box 9688
Fayetteville, AR 72703-0030
Phone (479) 582-4647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100226000098 | AR | Part B Supplier - Clinic/Group Practice | 8325183510 |
Receives reassigned benefits from 3 practitioners Practice locations: Fayetteville, AR |
| O20100930017625 | AR | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 8325183510 | Practice locations: Fayetteville, AR |
National Provider Directory
National Provider Directory- Tax ID family
- Powell Orthopedics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Fayetteville, AR
- NPI 1588876791
Locations
1450 E Zion Rd
Ste 10
Fayetteville, AR 72703
Phone (479) 582-4647
1450 E Zion Rd
Ste 6
Fayetteville, AR 72703
Phone (501) 804-3427
3900 N Parkview Dr
Ste 202
Fayetteville, AR 72703
Phone (479) 582-4647
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Fayetteville, AR
- NPI 1992762629
AR, Orthopaedic Surgery
-
- Physical Therapist
- Bentonville, AR
- NPI 1255945473
-
- Physical Therapy Assistant
- Fayetteville, AR
- NPI 1720415870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1598095069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9688",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727030030",
"telephone_number": "479-582-4647",
"fax_number": "479-582-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 E ZION RD STE 6&10",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035041",
"telephone_number": "479-582-4647",
"fax_number": "479-582-4660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POWELL ORTHOPEDICS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-06",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "WILSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "479-582-4647",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.