NWA PODIATRY CENTER INC.
NPI 1194868281
Podiatrist in Fayetteville, AR

Q: What is Northwest Arkansas Podiatry Center, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since February 15, 2007

125 W SUNBRIDGE DR, SUITE 1, FAYETTEVILLE, AR 72703(479) 251-9200 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nwa Podiatry Center Inc. NPPES

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

NWA PODIATRY CENTER INC. (NPI 1194868281) is a healthcare organization registered as a podiatrist in Fayetteville, Arkansas and active in the NPI registry since February 2007. The organization lists Phetsamone Peter Xaysanasy, Owner, as its authorized official.

NPPES Registry Identity

NPI1194868281

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameNORTHWEST ARKANSAS PODIATRY CENTER, INC.

Location Address125 W SUNBRIDGE DR, SUITE 1Fayetteville, AR 72703-1899

Mailing Address125 W Sunbridge Dr, Suite 1Fayetteville, AR 72703-1899 · (479) 251-9200

Phone(479) 251-9200

Organization SubpartNo

Authorized OfficialPhetsamone Peter XaysanasyOwner · (479) 251-9200

Enumeration DateFebruary 15, 2007

Last NPPES UpdateJanuary 3, 2011

✔ NPI 1194868281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in AR · 193

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

125 W SUNBRIDGE DR, Fayetteville, AR 72703

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Other Names 1

Other NameNwa Podiatry Center Inc.

Other Identifiers 5

Medicare UPINU82695AR

Medicare ID-Type Unspecified5L630C648AR

Other5C648AR · Bluecross Blueshield

Medicaid146684748AR

Medicare NSC4738950001AR

Group Practice 1

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SARAH MATOUSEK MS CCC SLP

Speech-Language Pathologist

125 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703

Washington County (479) 587-9201

DR. PHETSAMONE PETER XAYSANASY D.P.M.

Podiatrist

125 W SUNBRIDGE DR, SUITE 1
FAYETTEVILLE, AR 72703

Washington County (479) 251-9200

ARCHWAY THERAPY SERVICES

Psychologist

125 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703

Washington County (479) 587-9201

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 Northwest Arkansas Podiatry Center, Inc.'s NPI number?

The NPI number for Northwest Arkansas Podiatry Center, Inc. is 1194868281. It was assigned to this organization in the NPPES registry on February 15, 2007. The provider is also known as Nwa Podiatry Center Inc..

Where is Northwest Arkansas Podiatry Center, Inc. located?

Northwest Arkansas Podiatry Center, Inc. is located at 125 W Sunbridge Dr Suite 1, Fayetteville, AR 72703. The listed phone number is (479) 251-9200.

What is Northwest Arkansas Podiatry Center, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Northwest Arkansas Podiatry Center, Inc. was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.