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

Premier Anesthesia of Arkansas Professional Corporation

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1932519485

Premier Anesthesia of Arkansas Professional Corporation is an Oral & Maxillofacial Surgery (D.M.D.) in Fayetteville, Arkansas. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
7

Practice location Address checks out

3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Phone: (404) 941-1210
Fax: (404) 941-1304
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Pain Medicine Physician Taxonomy 208VP0000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Certified Registered Nurse Anesthetist Taxonomy 367500000X
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1932519485
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPremier Anesthesia LLC
Authorized official Randy Walker — Vp Finance · (678) 690-7812
NPI enumeratedMay 6, 2014
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address2655 Northwinds Pkwy, Alpharetta, GA 30009-2280

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