Northwest Dermatology Clinic, P.A.
LBN: Northwest Dermatology Clinic, P.A.
Northwest Dermatology Clinic, P.A. is an health care organization with primary practice located at 5100 S Thompson St # 212 , Springdale AR 72764-6933. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatopathology is the primary health care specialty.
Northwest Dermatology Clinic, P.A. can be contacted via phone (479) 750-7200, or through Wharton, James R via phone (479) 750-7200.
Contact Information
Primary practice address
5100 S Thompson St # 212
Springdale AR 72764-6933
Phone: (479) 750-7200
Fax: (479) 750-7202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MC1781 | Arkansas |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MC1781 | Arkansas |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MC1781 | Arkansas |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MC1781 | Arkansas |
Profile Details
| NPI number | 1366490997 |
|---|---|
| LBN Legal business name | Northwest Dermatology Clinic, P.A. |
| DBA Doing business as | |
| Authorized official | Wharton, James R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jan 6th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366490997 | NPPES |
| Arkansas | MEDICAID | 133978002 |
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