MEDICARE: MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1881029627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

Provider Business Mailing Address
First Line	:	PO BOX 1523
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72702-1523
Country	:	US
Telephone Number	:	479-571-6038
Fax Number	:	479-582-0222

Provider Business Practice Location Address
First Line	:	3730 S PINNACLE HILLS PKWY STE 2
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8897
Country	:	US
Telephone Number	:	479-464-5599
Fax Number	:	479-464-5598

Authorized Official
Title or Position	:	CFO
Name	:	TERRY HURT
Credential	:
Telephone Number	:	479-571-6780

Provider Enumeration Date	:	09/12/2013
Last Update Date	:	12/15/2025

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