Provider Demographics
NPI:1164700068
Name:NWA ORTHOPAEDIC CONSULTING, PA
Entity Type:Organization
Organization Name:NWA ORTHOPAEDIC CONSULTING, PA
Other - Org Name:THE SHOULDER CENTER OF ARKANSAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:479-966-4491
Mailing Address - Street 1:201 W. VAN ASCHE LOOP
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4999
Mailing Address - Country:US
Mailing Address - Phone:479-966-4491
Mailing Address - Fax:479-966-4311
Practice Address - Street 1:161 W VAN ASCHE DR STE 101
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4999
Practice Address - Country:US
Practice Address - Phone:479-966-4491
Practice Address - Fax:479-966-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty