MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
NPI 1114482379
Internal Medicine - Gastroenterology in Fayetteville, AR

Q: What is Medical Associates Of Northwest Arkansas PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since February 01, 2019CLIA 04D1048901 · Waiver

3344 N FUTRALL DR STE B, FAYETTEVILLE, AR 72703(479) 521-8200(479) 582-7310 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Medical Associates Of Northwest Arkansas Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA (NPI 1114482379) is a healthcare organization registered as a gastroenterology in Fayetteville, Arkansas and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through December 13, 2027 and lists Terry Hurt, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114482379

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameMEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

Location Address3344 N FUTRALL DR STE BFayetteville, AR 72703-4057

Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 582-0222

Phone(479) 521-8200

Fax(479) 582-7310

Organization SubpartNo

Authorized OfficialTerry HurtCfo · (479) 571-6780

Enumeration DateFebruary 1, 2019

Last NPPES UpdateJanuary 17, 2024

NPPES CertifiedJanuary 17, 2024

✔ NPI 1114482379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3344 N FUTRALL DR STE B, Fayetteville, AR 72703

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D1048901

Medical Associates Of Northwest Arkansas · Fayetteville, AR

Active · expires Dec 13, 2027

CLIA Number04D1048901

Laboratory TypeHealth Fair

Certificate Effective DateDecember 14, 2025

Certificate Expiration DateDecember 13, 2027

Laboratory DirectorMs. Tara Lindstrom

Laboratory Phone(479) 582-7256

Laboratory LocationMedical Associates Of Northwest Arkansas3383 N Mana Court #201, Fayetteville, AR 72703

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Associates Of Northwest Arkansas PA's NPI number?

The NPI number for Medical Associates Of Northwest Arkansas PA is 1114482379. It was assigned to this organization in the NPPES registry on February 1, 2019.

Where is Medical Associates Of Northwest Arkansas PA located?

Medical Associates Of Northwest Arkansas PA is located at 3344 N Futrall Dr Ste B, Fayetteville, AR 72703. The listed phone number is (479) 521-8200.

What is Medical Associates Of Northwest Arkansas PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Medical Associates Of Northwest Arkansas PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1048901) is associated with this NPI, valid through December 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Associates Of Northwest Arkansas PA was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.