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

Northwest Dermatology Clinic, PA

Organization Dermatology Physician · NPI 1366490997

Northwest Dermatology Clinic, PA is a Dermatology Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

5100 S Thompson St # 212
Springdale, AR 72764-6933
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