Look up the most recent NPI and PECOS records

Nicholas Wuthnow

Chiropractor

Chiropractic Providers

3980 W Wedington Dr Ste 14, Fayetteville, AR 72704-5791

PECOS Enrollment

Based on the most recent information from CMS, provider Nicholas Wuthnow does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1053067272
Provider Type
Individual
Full Name
Wuthnow, Nicholas
Title
Dr.
Credential
DC

Gender
Male
Sole Proprietor
No
Enumeration Date
2/25/2022
Last Updated
2/25/2022

Contact Information

Practice Location

3980 W Wedington Dr Ste 14, Fayetteville, AR 72704-5791

(479) 435-6834

Unlisted Fax

Mailing Location

4101 W Huntington Dr Apt 2302, Rogers, AR 72758-4191

(785) 201-2781

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 16320 Arkansas

Provider Identifiers

ID	Description	Issuer
ID 1982245387	Description Other	Issuer AELL SPENCER CHIROPRACTIC INC. Arkansas

Nicholas Wuthnow

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Apex Spine Joint & Wellness Inc

Campos, Kevin Bryce

Woods, Richard Alex

Sence, David M

Williams, Andrea Elaine

Masters, Blair B

Medical Associates Of Northwest Arkansas Pa

Whitelaw, Steven W

Dupuy, Joshua Chad

Alexis Racheotes Dc Pllc Sports Chiropractic & Acupuncture