Organization Active NPI

Northwest Arkansas Retina Associates, P.a.

  • Retina Specialist (Ophthalmology) Physician
  • Springdale, AR
National Provider Identifier
1700057361
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
NORTHWEST ARKANSAS RETINA ASSOCIATES, P.A.
Practice address
5501 Willow Creek Dr Ste 203B
Springdale, AR 72762-8708
Phone
(479) 419-9393
Fax
(479) 419-9513
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dr. Serrhel G Adams Jr., M.D., PH.D.
Title
President, Vitreoretinal Surgeon
Phone
(479) 419-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

5501 Willow Creek Dr Ste 203B
Springdale, AR 72762-8708

Mailing address

601 W Maple Ave
Suite 205a
Springdale, AR 72764-5335
Phone (479) 419-9393

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sadams@nwaretina.intellechartdirect.net Direct Northwest Arkansas Retina Associates, P.A.

National Provider Directory

National Provider Directory

Locations

594 E Millsap Rd
Fayetteville, AR 72703
Phone (479) 442-2020

Interoperability endpoints

  • Direct secure messaging: sadams@nwaretina.intellechartdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1700057361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W MAPLE AVE",
            "address_2": "SUITE 205A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "479-419-9393",
            "fax_number": "479-419-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR STE 203B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628708",
            "telephone_number": "479-419-9393",
            "fax_number": "479-419-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS RETINA ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2023-11-27",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SERRHEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT, VITREORETINAL SURGEON",
        "authorized_official_telephone_number": "479-419-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sadams@nwaretina.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Northwest Arkansas Retina Associates, P.A.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5501 Willow Creek Dr Ste 203B",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727628708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.