MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA – NPI #1720012511
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA is an urologist located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1720012511 to MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA on July 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was last updated on Apr 11, 2025. 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 MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA below.

NPI Profile for
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

NPI Number
1720012511
Enumeration Date

(about 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
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Primary location
3336 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone: (479) 444-8827 Fax: (479) 444-7310
Mailing address
PO BOX 3886
FAYETTEVILLE, AR 72702-3886
Phone: (479) 444-8827 Fax: (479) 444-7310
Organization Subpart
No
Authorized Official
TERRY HURT
CFO
Phone: (479) 571-6780
Updated
Certification Date
Apr 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

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
otherAR BC/BSAR5F590
medicaidAR161879002
medicaidOK100726870C
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
208800000X
- Urology (Primary)

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.