Organization Active NPI

Powell Orthopedics, PA

  • Orthopaedic Surgery Physician
  • Fayetteville, AR
National Provider Identifier
1598095069
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Dr. Mark Wilson Powell, MDNPI 1992762629
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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Orthopedics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.