Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fayetteville Surgical Assoc PA

Organization Specialist · NPI 1013084631

Fayetteville Surgical Assoc PA is a Specialist in Fayetteville, Arkansas. Registered with an NPI since 2006.

In the registry since
2006
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

3264 N North Hills Blvd
Fayetteville, AR 72703-4005
Phone: (479) 521-3300
Fax: (479) 521-4914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1013084631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gwen Mathis — Clinic Administrator · (479) 521-3300
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 22, 2013
Mailing address3264 N. North Hills Blvd., Fayetteville, AR 72703-4005

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