FAYETTEVILLE SURGICAL ASSOC PA NPI 1013084631
Specialist in Fayetteville, AR

About FAYETTEVILLE SURGICAL ASSOC PA

Fayetteville Surgical Assoc Pa is a provider established in Fayetteville, Arkansas operating as a Specialist. The NPI number of Fayetteville Surgical Assoc Pa is 1013084631 and was assigned on November 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Fayetteville Surgical Assoc Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Gwen S Mathis (Clinic Administrator)

NPI
1013084631
Provider NameFAYETTEVILLE SURGICAL ASSOC PA
Location Address3264 N. NORTH HILLS BLVD. FAYETTEVILLE, AR 72703
Location Phone(479) 521-3300
Mailing Address3264 N. NORTH HILLS BLVD. FAYETTEVILLE, AR 72703
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-29-2006
Last Update Date07-22-2013


Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

FAYETTEVILLE SURGICAL ASSOC PA
3264 N. NORTH HILLS BLVD.
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-3300
Fax: (479) 521-4914

Get Directions


Mailing Address

FAYETTEVILLE SURGICAL ASSOC PA
3264 N. NORTH HILLS BLVD.
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-3300
Fax: (479) 521-4914


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameMRS. GWEN S MATHIS
Authorized Official TitleCLINIC ADMINISTRATOR
Authorized Official Phone(479) 521-3300

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
111799002MEDICAID (05)AR
57127MEDICARE PIN (08)AR

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013084631
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202308866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 8 + 6 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1013084631 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851375158DR. JEFFREY D. BELL M.D.
Individual
Surgery3264 N. NORTH HILLS BLVD. 377TH MEDICAL GROUP
FAYETTEVILLE, AR 72703
(479) 521-3300
1205892213 M GARETH ECK M.D.
Individual
Surgery3264 N. NORTH HILLS BLVD.
FAYETTEVILLE, AR 72703
(479) 521-3300
1124085469 JON M BERRY M.D.
Individual
Surgery3264 N. NORTH HILLS BLVD. FAYETTEVILLE SURGICAL ASSOCIATES PA
FAYETTEVILLE, AR 72703
(479) 521-3300

Frequently Asked Questions

What is FAYETTEVILLE SURGICAL ASSOC PA NPI number?

The NPI number assigned to FAYETTEVILLE SURGICAL ASSOC PA is 1013084631, registered as an "organization" on November 29, 2006

Where is FAYETTEVILLE SURGICAL ASSOC PA located?

The provider is located at 3264 N. North Hills Blvd. Fayetteville, Ar 72703 and the phone number is (479) 521-3300

What kind of medical provider is FAYETTEVILLE SURGICAL ASSOC PA?

This medical organization specializes in Specialist

What insurance does FAYETTEVILLE SURGICAL ASSOC PA accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

How do I update my NPI information?

The NPI record of FAYETTEVILLE SURGICAL ASSOC PA was last updated on November 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]