NORTHWEST DERMATOLOGY CLINIC, P.A. – NPI #1366490997
Dermatology

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Health Care Provider Taxonomy Code for Dermatology

NORTHWEST DERMATOLOGY CLINIC, P.A. is a dermatologist located in SPRINGDALE, AR. NPPES has assigned the NPI number 1366490997 to NORTHWEST DERMATOLOGY CLINIC, P.A. on May 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0900X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Dermatopathology

The NPI profile was previously updated about 16 years ago on Jan 06, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHWEST DERMATOLOGY CLINIC, P.A. below.

NPI Profile for
NORTHWEST DERMATOLOGY CLINIC, P.A.

NPI Number
1366490997
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWEST DERMATOLOGY CLINIC, P.A.
Primary location
5100 S THOMPSON ST # 212
SPRINGDALE, AR 72764-6933
Phone: (479) 750-7200 Fax: (479) 750-7202
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES WHARTON
PRESIDENT
Phone: (479) 750-7200
Updated
Identifiers

Identifiers for NORTHWEST DERMATOLOGY CLINIC, P.A.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAR133978002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0900X
- Dermatology / Dermatopathology (Primary)		 AR MC1781
207NS0135X
- Dermatology / Procedural Dermatology		 AR MC1781
207ND0101X
- Dermatology / MOHS-Micrographic Surgery		 AR MC1781
207N00000X
- Dermatology		 AR MC1781

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.