Northwest Arkansas Pathology Associates, PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NORTHWEST ARKANSAS PATHOLOGY ASSOCIATES, PA

Practice address

390 E Longview St
Fayetteville, AR 72703-4618

Phone

(479) 442-0144

Fax

(479) 442-4557

NPI assigned

Oct 16, 2012

Last updated

Oct 20, 2023By 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

Carolyn Crook

Title

Vice President

Phone

(479) 442-0144

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northwest Arkansas Pathology Associates PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Fayetteville, AR
  • NPI 1306819263

  8729013495

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Northwest Arkansas Pathology Associates PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Fayetteville, AR
  • NPI 1306819263

  O20080729000103

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Jamie M Boone, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fayetteville, AR
  • NPI 1043537608
  NPD
• Xiuxu Chen, M.D., PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fayetteville, AR
  • NPI 1922492297
  NPD
• Yunguang Liu, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fayetteville, AR
  • NPI 1376860957
  NPD

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1720331796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 E LONGVIEW ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034618",
            "telephone_number": "479-442-0144",
            "fax_number": "479-442-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E LONGVIEW ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034618",
            "telephone_number": "479-442-0144",
            "fax_number": "479-442-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS PATHOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "CROOK",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "479-442-0144"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116874002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Arkansas Heart & Vascular Center
• Northwest Arkansas Id Specialists PA
• Northwest Arkansas Medical Imaging, Inc (Nwa Med Imaging)
• Northwest Arkansas Oral & Maxillofacial Surgery PLLC
• Northwest Arkansas Pathology Associates PA
• Northwest Arkansas Pediatric Dentistry PLLC
• Northwest Arkansas Periodontal Associates, PLLC
• Northwest Arkansas Podiatry Center, Inc.
• Northwest Arkansas Rehabilitation Associates (Encompass Health Rehab Hospital, a partner of Washington Regional)
• Northwest Arkansas Renal Dialysis Associates (Regional Kidney Center Fayetteville Dialysis)

• Clinical Medical Laboratory in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Medical Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.