Northwest Arkansas Id Specialists PA
NPI 1699632687ActiveOrganization· Specialist· Fayetteville, AR
Specialist in Fayetteville, Arkansas, registered in NPPES in January 2026. The authorized official on file is Britton Pim, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699632687 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2026 |
| Last updated in NPPES | Jan 20, 2026 |
| Certified by provider | Jan 20, 2026 |
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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