Northwest Arkansas Neurosurgery Clinic, PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NORTHWEST ARKANSAS NEUROSURGERY CLINIC, PA

Practice address

5501 Willow Creek Dr
Suite 203
Springdale, AR 72762-8704

Phone

(479) 521-0900

Fax

(479) 521-7284

NPI assigned

Jun 28, 2006

Organization subpart

Yes

Parent organization

NORTHWEST ARKANSAS NEUROSURGERY CLINIC, PAAs reported in NPPES

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

Authorized official

Name

Ms. Jennifer G Mathis

Title

Office Administrator

Phone

(479) 521-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Total Spine Other name

Part of

Northwest Arkansas Neurosurgery Clinic PA

Practitioners 1

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

• Anna Marie White, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Fayetteville, AR
  • NPI 1083719181
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1982631347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR",
            "address_2": "SUITE 203",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628704",
            "telephone_number": "479-521-0900",
            "fax_number": "479-521-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR",
            "address_2": "SUITE 203",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628704",
            "telephone_number": "479-521-0900",
            "fax_number": "479-521-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS NEUROSURGERY CLINIC, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST ARKANSAS NEUROSURGERY CLINIC, PA",
        "enumeration_date": "2006-06-28",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "479-521-0900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "5C180",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Spine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Northwest Arkansas Hospitals LLC
• Northwest Arkansas Hospitals LLC
• Northwest Arkansas Hospitals, LLC
• Northwest Arkansas Hospitals, LLC
• Northwest Arkansas Hospitals, LLC
• Northwest Arkansas OB/GYN Assoc.,PLC
• Northwest Arkansas Paramed Transfer LLC
• Northwest Arkansas Physical Ability Testing Center Inc
• Northwest Arkansas Physical Ability Testing Center, P.a.
• Northwest Arkansas Radiation Therapy Institute

• Neurological Surgery Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Neurological Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.