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Northwest Arkansas Podiatry Center, Inc.

Podiatrist in Fayetteville, AR · enumerated 2007 · authorized official Phetsamone Xaysanasy, Owner.

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

National Provider Identifier

1194868281

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Registry record

Entity type Organization (Type 2)
Legal business name Northwest Arkansas Podiatry Center, Inc.
Other name <Unavail>
Practice address 125 W Sunbridge Dr, Suite 1, Fayetteville, AR, 72703
Phone (479) 251-9200
Enumeration date Feb 15, 2007
Last updated in NPPES Jan 3, 2011

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 193 (AR) Primary

Authorized official

Name Phetsamone Xaysanasy
Title Owner
Phone (479) 251-9200

Other identifiers

Identifier Type State Issuer
5C648 Other AR BLUECROSS BLUESHIELD
146684748 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-01-03. Verify at npiregistry.cms.hhs.gov.
Where is Northwest Arkansas Podiatry Center, Inc. located?
The practice location on file with NPPES is in Fayetteville, AR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-01-03.