Active NPI
Arkansas Medical & Wellness PA
- Preferred Provider Organization
- Bentonville, AR
National Provider Identifier
1619389152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Legal business name
- ARKANSAS MEDICAL & WELLNESS PA
- Practice address
- 3400 SE Macy Rd
Suite 18
Bentonville, AR 72712-7841 - Phone
- (479) 845-4476
- Fax
- (479) 286-0061
- NPI assigned
- Jun 2, 2014
- 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
- Steve Swift
- Title
- Administrator
- Phone
- (918) 361-4192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Primary |
Addresses
Primary practice location
3400 SE Macy Rd
Suite 18
Bentonville, AR 72712-7841
Mailing address
3400 SE Macy Rd
Suite 18
Bentonville, AR 72712-7841
Phone (479) 845-4476
National Provider Directory
National Provider DirectoryLocations
3400 SE Macy Rd
Ste 18
Bentonville, AR 72712
Phone (478) 845-0880
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Fort Worth, TX
- NPI 1841253556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401667200000",
"number": "1619389152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SE MACY RD",
"address_2": "SUITE 18",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127841",
"telephone_number": "479-845-4476",
"fax_number": "479-286-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SE MACY RD",
"address_2": "SUITE 18",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127841",
"telephone_number": "479-845-4476",
"fax_number": "479-286-0061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS MEDICAL & WELLNESS PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-02",
"last_updated": "2014-06-02",
"status": "A",
"authorized_official_last_name": "SWIFT",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "918-361-4192"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
- Arkansas Center for Arthroscopy, PA
- Arkansas Compounding, LLC
- Arkansas Connections Academy, Inc.
- Arkansas Dental Health Professionals, Mongrain, P.a.
- Arkansas Liver and Gastroenterology, P.a.
- Arkansas MRI Services LLC
- Arkansas Muscle & Joint Clinic, LLC
- Arkansas PHS PA
- Arkansas Urology, P.a.
- James H Arkins, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.