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Fayetteville Surgical Assoc PA

Specialist in Fayetteville, AR · enumerated 2006 · authorized official Gwen Mathis, Clinic Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013084631

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Registry record

Entity type Organization (Type 2)
Legal business name Fayetteville Surgical Assoc PA
Practice address 3264 N. North Hills Blvd., Fayetteville, AR, 72703
Phone (479) 521-3300
Fax (479) 521-4914
Enumeration date Nov 29, 2006
Last updated in NPPES Jul 22, 2013

Taxonomy & classification

174400000X Specialist Other Service Providers Primary

Authorized official

Name Gwen Mathis
Title Clinic Administrator
Phone (479) 521-3300

Other identifiers

Identifier Type State Issuer
111799002 Medicaid AR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Fayetteville Surgical Assoc PA?
Fayetteville Surgical Assoc PA is registered in NPPES as a Specialist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-22.