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NORTHWEST DERMATOLOGY CLINIC, P.A.
NPI 1366490997
Dermatology - Dermatopathology in Springdale, AR

Active since May 05, 2006
5100 S THOMPSON ST # 212, SPRINGDALE, AR 72764(479) 750-7200(479) 750-7202 Get Directions Write a Review

NPPES record last updated: January 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northwest Dermatology Clinic, P.a. NPPES

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

NORTHWEST DERMATOLOGY CLINIC, P.A. (NPI 1366490997) is a healthcare organization registered as a dermatopathology in Springdale, Arkansas and active in the NPI registry since May 2006. The organization lists James R Wharton, President, as its authorized official.

NPPES Registry Identity

NPI1366490997
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameNORTHWEST DERMATOLOGY CLINIC, P.A.
Location Address5100 S THOMPSON ST # 212Springdale, AR 72764-6933
Mailing Address5100 S Thompson St # 212Springdale, AR 72764-6933 · (479) 750-7200 · Fax (479) 750-7202
Phone(479) 750-7200
Fax(479) 750-7202
Organization SubpartNo
Authorized OfficialJames R WhartonPresident · (479) 750-7200
Enumeration DateMay 5, 2006
Last NPPES UpdateJanuary 6, 2010
✔ NPI 1366490997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in AR · MC1781
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Also ListedDermatologyTaxonomy 207N00000X · License MC1781 (AR)
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License MC1781 (AR)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License MC1781 (AR)
5100 S THOMPSON ST # 212, Springdale, AR 72764
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Other Identifiers 2

Medicare PIN5C767AR
Medicaid133978002AR

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

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 Dermatology Clinic, P.A.'s NPI number?

The NPI number for Northwest Dermatology Clinic, P.A. is 1366490997. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Northwest Dermatology Clinic, P.A. located?

Northwest Dermatology Clinic, P.A. is located at 5100 S Thompson St # 212, Springdale, AR 72764. The listed phone number is (479) 750-7200.

What is Northwest Dermatology Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

When was this NPI record last updated?

The NPPES record for Northwest Dermatology Clinic, P.A. was last updated on January 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.