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

Mandy Suzanne Mooneyham, PA-C

Individual provider Surgical Physician Assistant · NPI 1831391655

Mandy Suzanne Mooneyham, PA-C is a Surgical Physician Assistant in Fayetteville, Arkansas. Licensed in Arkansas, Missouri and Oklahoma. Registered with an NPI since 2007.

Licensed in
AR, MO, OK
In the registry since
2007
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3053 N College Ave
Fayetteville, AR 72703-3417
Phone: (479) 463-2000
Fax: (479) 442-4518
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA-329 (AR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2007002747 (MO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence P-T0716 (AR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2266 (OK)

Record details

NPI number1831391655
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 4, 2007
Last updated in NPPESNovember 22, 2013

Other providers in Fayetteville