OrganizationActive
Fayetteville Surgical Assoc PA
NPI 1013084631 · Specialist · Fayetteville, AR
Fayetteville Surgical Assoc PA is a Specialist organization in Fayetteville, AR (NPI 1013084631).
Provider details
- NPI number
- 1013084631
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Gwen Mathis, Clinic Administrator(479) 521-3300
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3264 N. North Hills Blvd.
Fayetteville, AR 72703-4005
Phone: (479) 521-3300
Fax: (479) 521-4914
Street-level locationGet directions
Mailing address
3264 N. North Hills Blvd.
Fayetteville, AR 72703-4005
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2013-07-22
Frequently asked questions
- What is Fayetteville Surgical Assoc PA's NPI number?
- Fayetteville Surgical Assoc PA's National Provider Identifier (NPI) is 1013084631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fayetteville Surgical Assoc PA?
- Fayetteville Surgical Assoc PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Fayetteville Surgical Assoc PA located?
- Fayetteville Surgical Assoc PA's practice location on file with NPPES is 3264 N. North Hills Blvd., Fayetteville, AR 72703-4005.
- What is Fayetteville Surgical Assoc PA's phone number?
- The practice phone number listed in the NPPES registry for Fayetteville Surgical Assoc PA is (479) 521-3300.
- Who is the authorized official for Fayetteville Surgical Assoc PA?
- The authorized official listed on Fayetteville Surgical Assoc PA's NPPES record is Gwen Mathis, Clinic Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fayetteville Surgical Assoc PA's NPI active?
- Yes — Fayetteville Surgical Assoc PA's NPI (1013084631) is active in the NPPES registry as of the last update on 2013-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.