Nwa MD Consulting PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NWA MD CONSULTING PLLC

Doing business as

Crossroads Telemedicine PLLC

Practice address

199 N 34TH St
Rogers, AR 72756-0304

Phone

(479) 845-7000

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Catherine Bohannan

Title

Office Manager

Phone

(479) 845-7000

Specialties & licenses 1

Addresses

Other names 1

• Crossroads Telemedicine PLLC Doing business as

Locations

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1679180624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1784",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727121784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 N 34TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560304",
            "telephone_number": "479-845-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWA MD CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "BOHANNAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-845-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Telemedicine PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen P Nugent, D.D.S.
• Carilia Nunez, MS
• Jonathan Scott Nunley, MD
• Mandi Nussbaum, APRN
• Nwa Hearing LLC
• Nwa Mobility, LLC
• Nwa Premier Counseling
• Nwa Premier Therapy
• Nwa Tongue Tie Center, PLLC
• Cecelia Rose O'Keefe, PHARMD

• Family Medicine Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.