Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northwest Dermatology Clinic, PA

Organization Dermatology Physician · NPI 1366490997

Northwest Dermatology Clinic, PA provides Dermatology Physician services in Springdale, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5100 S Thompson St # 212
Springdale, AR 72764-6933 Not confirmed with CMS for 16 years — call before visiting
Phone: (479) 750-7200
Fax: (479) 750-7202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence MC1781 (AR)
Dermatology Physician Taxonomy 207N00000X · Licence MC1781 (AR)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence MC1781 (AR)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence MC1781 (AR)

Record details

NPI number1366490997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wharton — President · (479) 750-7200
NPI enumeratedMay 5, 2006
Last updated in NPPESJanuary 6, 2010
Mailing address5100 S Thompson St # 212, Springdale, AR 72764-6933