NORTHWEST ARKANSAS HOSPITALS LLC (NPI# 1073531950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073531950 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ARKANSAS HOSPITALS LLC |
| Other Organization Name | NORTHWEST SENIOR HEALTH CENTERS |
| Practice Address |
2422 N Thompson St Suite 104 Springdale AR 72764-1757 |
| Mailing Address |
Po Box 840448 Dallas TX 75284-0448 |
| Practice Telephone | 4797574000 |
| Practice Fax Number | 4797572908 |
| Mailing Telephone | 4797574000 |
| Mailing Fax Number | 4797572908 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-08-23 |
| Authorized Official Name | REBECCA HURLEY (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2144733993 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST ARKANSAS HOSPITALS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
AR4353 | AR | Allopathic & Osteopathic Physicians |
| N | 103T00000X | Psychologist | AR353 | AR | Behavioral Health & Social Service Providers |
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
AR4353 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | AR4353 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AR4353 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
AR4353 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Northwest Senior Health Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255533444 | Northwest Arkansas Hospitals LLC | General Acute Care Hospital | 609 W Maple Ave, Springdale, AR 72764-5335 | 2007-06-01 |
| 1982806196 | Northwest Arkansas Hospitals LLC | Rehabilitation Unit | 609 W Maple Ave, Springdale, AR 72764-5335 | 2007-06-01 |
| 1316053242 | Northwest Arkansas Hospitals LLC | Dietitian, Registered | 609 W Maple Ave, Springdale, AR 72764-5335 | 2006-08-22 |
| Street Address |
2422 N THOMPSON ST SUITE 104 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360354 | Shenandoah Lee Ware | Physical Therapist | 2422 N Thompson St, Ste. C, Springdale, AR 72764-1757 | 2005-07-14 |
| 1619335270 | Kaysha Thompson | Physical Therapy Assistant | 2422 N Thompson St, Springdale, AR 72764-1757 | 2016-02-10 |
| 1881784353 | Cecelia Hope Fredrich | Nurse Practitioner | 2422 N Thompson St, Suite A, Springdale, AR 72764-1757 | 2006-10-13 |
| 1326071283 | Maryalice Kelly | Nurse Practitioner | 2422 N Thompson St, Springdale, AR 72764-1757 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740294032 | Maria Cristina M Judit | Internal Medicine | 4077 Elm Springs Rd, Springdale, AR 72762-3748 | 2006-07-29 |
| 1497712640 | Jose Albert Ang Fontanilla Jr. | Internal Medicine | 4077 Elm Springs Rd Ste 105, Springdale, AR 72762-3703 | 2006-04-28 |
| 1316901994 | Bilal Naeem | Internal Medicine | 210 S Thompson St Ste 4a, Springdale, AR 72764-4261 | 2006-04-12 |
| 1124347380 | Ozark Senior Healthcare, Pllc | Internal Medicine | 210 S Thompson St Ste 4a, Springdale, AR 72764-4261 | 2010-05-26 |
| 1811006760 | Amy Marie Irwin | Internal Medicine | 3409 Elm Springs Rd, Springdale, AR 72762-2754 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992239479 | Bushra Shah Md Pllc | Internal Medicine | 100 Vigne Dr, Little Rock, AR 72223-4581 | 2017-04-12 |
| 1245580539 | Geriatrics Consulting Services Ltd | Internal Medicine | 120 Dellmere Drive, Hot Springs, AR 71913 | 2012-09-13 |
| 1154443372 | Kalpana P Padala | Internal Medicine | 629 Jack Stephens Dr, Little Rock, AR 72205-5525 | 2007-04-06 |
| 1811059363 | Paula M. Podrazik | Internal Medicine | 4301 W. Markham, #783, Little Rock, AR 72205-7101 | 2006-12-14 |
| 1508956079 | David Lipschitz | Internal Medicine | 415 N Mckinley, Suite 130, Little Rock, AR 72205-3013 | 2006-10-13 |
| 1982711891 | Linda Hammond Williams | Internal Medicine | 2200 Fort Roots Dr # 111/nlr, North Little Rock, AR 72114-1709 | 2006-08-24 |
| 1245268424 | Stephen R. Maes | Internal Medicine | 825 N Spring St, Suite F, Harrison, AR 72601-2942 | 2006-06-28 |
| 1407890213 | Crittenden Memorial Hospital | Internal Medicine | 304 S Rhodes St, West Memphis, AR 72301-4215 | 2006-06-15 |
| 1255395752 | Larry Don Wright | Internal Medicine | 1801 Forest Hills Blvd, Suite 201, Bella Vista, AR 72715-3016 | 2006-04-13 |
| 1407810989 | Bilquis Imtiaz Khot | Internal Medicine | 1801 Forest Hills Blvd., Ste. 201, Bella Vista, AR 72715 | 2006-04-13 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.