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ARKANSAS UROLOGY, P.A.
NPI 1770456279
Urology in Bentonville, AR

Active since September 29, 2025CLIA 04D2168363 · Waiver
3400 SE MACY RD STE 22, BENTONVILLE, AR 72712(501) 219-8900 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Arkansas Urology, P.a. NPPES

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

ARKANSAS UROLOGY, P.A. (NPI 1770456279) is a healthcare organization registered as an urology in Bentonville, Arkansas and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Jeffrey B Marotte, Md, as its authorized official.

NPPES Registry Identity

NPI1770456279
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameARKANSAS UROLOGY, P.A.
Location Address3400 SE MACY RD STE 22Bentonville, AR 72712-7844
Mailing Address1300 Centerview DrLittle Rock, AR 72211-4349
Phone(501) 219-8900
Organization SubpartNo
Authorized OfficialJeffrey B MarotteMd · (501) 327-5850
Enumeration DateSeptember 29, 2025
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1770456279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
3400 SE MACY RD STE 22, Bentonville, AR 72712
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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 04D2168363

Arkansas-Urology-Bentonville · Bentonville, AR
Active · expires Jun 26, 2027
CLIA Number04D2168363
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorDr. Michael A. Childs
Laboratory Phone(201) 519-8900
Laboratory LocationArkansas-Urology-Bentonville3400 SE Macy Road, Bentonville, AR 72712
CLIA data matches this NPI record on: Address
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 Arkansas Urology, P.A.'s NPI number?

The NPI number for Arkansas Urology, P.A. is 1770456279. It was assigned to this organization in the NPPES registry on September 29, 2025.

Where is Arkansas Urology, P.A. located?

Arkansas Urology, P.A. is located at 3400 SE Macy Rd Ste 22, Bentonville, AR 72712. The listed phone number is (501) 219-8900.

What is Arkansas Urology, P.A.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Arkansas Urology, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2168363) is associated with this NPI, valid through June 26, 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 Arkansas Urology, P.A. was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.