Northwest Arkansas Id Specialists PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHWEST ARKANSAS ID SPECIALISTS PA

Practice address

4038 N Remington Dr Ste 4
Fayetteville, AR 72703-6314

Phone

(479) 444-6522

NPI assigned

Jan 9, 2026

Last updated

Jan 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Britton Pim

Title

Ceo

Phone

(281) 295-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Hall Hennigan, MD

  • Specialist
  • Fayetteville, AR
  • NPI 1386728996
  Medicare reassignment NPD
• Miranda Nichole Bowen-Perkins, APRN

  • Nurse Practitioner
  • Rogers, AR
  • NPI 1972976025
  NPD
• Andrew Michael Ebers, M.D.

  • Infectious Disease Physician
  • Rogers, AR
  • NPI 1689931941
  NPD
• Margaret B Oliver, APRN

  • Family Nurse Practitioner
  • Fayetteville, AR
  • NPI 1770078073
  NPD
• Daniel Young, MD

  • Infectious Disease Physician
  • Rogers, AR
  • NPI 1265656425
  NPD
• Clayton Avery, PA-C

  • Physician Assistant
  • Fayetteville, AR
  • NPI 1336874544
  NPD (past)
• Robin R Hayward, PA-C

  • Physician Assistant
  • Fayetteville, AR
  • NPI 1558357806
  NPD (past)
• Lisa Aldrin Rojeski, PA-C

  • Medical Physician Assistant
  • Fayetteville, AR
  • NPI 1366524092
  NPD (past)
• Linda Kay West, ANP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bentonville, AR
  • NPI 1982726444
  NPD (past)

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1699632687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 N REMINGTON DR STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 N REMINGTON DR STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036314",
            "telephone_number": "479-444-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS ID SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "PIM",
        "authorized_official_first_name": "BRITTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-295-4000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northwest Arkansas Pathology Associates PA
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• Northwest Arkansas Pediatric Dentistry PLLC

• Specialist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.