Ozark Dermatology Clinic
NPI 1134207483ActiveOrganization· Specialist· Fayetteville, AR
Specialist in Fayetteville, Arkansas, registered in NPPES in November 2006. The authorized official on file is Diane Williams, Credentialing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134207483 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2006 |
| Last updated in NPPES | Feb 22, 2022 |
| Certified by provider | Feb 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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