Northwest Dermatology Clinic, P.A.

LBN: Northwest Dermatology Clinic, P.A.
Northwest Dermatology Clinic, P.A. is an health care organization with primary practice located at 5100 S Thompson St # 212 , Springdale AR 72764-6933. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatopathology is the primary health care specialty. Northwest Dermatology Clinic, P.A. can be contacted via phone (479) 750-7200, or through Wharton, James R via phone (479) 750-7200.

Contact Information

Primary practice address
5100 S Thompson St # 212 Springdale AR 72764-6933
Phone: (479) 750-7200
Fax: (479) 750-7202
Website:
Map and Directions
Authorized official contact:
Name: Wharton, James R Doctor of Medicine (MD)
Phone: (479) 750-7200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MC1781 Arkansas
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MC1781 Arkansas
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MC1781 Arkansas
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MC1781 Arkansas

Profile Details

NPI number 1366490997
LBN Legal business name Northwest Dermatology Clinic, P.A.
DBA Doing business as
Authorized official Wharton, James R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2006
Last updated Jan 6th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366490997 NPPES
Arkansas MEDICAID 133978002

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