NPIMap

Organization Active NPI

Nwa Advanced Medicine P.a.

  • General Practice Physician
  • Fayetteville, AR
National Provider Identifier
1902147689
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E4245 Issued in AR
Legal business name
NWA ADVANCED MEDICINE P.A.
Practice address
2035 N College Ave
Suite 1
Fayetteville, AR 72703-2613
Phone
(479) 571-2273
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Rodney Routsong, D.O.
Title
Pres
Phone
(479) 571-2273

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X E4245 AR
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X E4245 AR
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X E4245 AR Primary

Addresses

Primary practice location

2035 N College Ave
Suite 1
Fayetteville, AR 72703-2613

Mailing address

PO Box 698
Fayetteville, AR 72702-0698
Phone (479) 571-2273

Other names 1

  • Advanced Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

3301 W Hudson Rd
Rogers, AR 72756
Phone (479) 636-9495

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1902147689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727020698",
            "telephone_number": "479-571-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 N COLLEGE AVE",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032613",
            "telephone_number": "479-571-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWA ADVANCED MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "ROUTSONG",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "479-571-2273",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "AR",
            "license": "E4245",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "E4245",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AR",
            "license": "E4245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.