MAGNOLIA REGIONAL MEDICAL CENTER (NPI# 1073893665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073893665 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA REGIONAL MEDICAL CENTER |
| Other Organization Name | MAGNOLIA OBSTETRICAL CLINIC |
| Practice Address |
101 Hospital Drive Magnolia AR 71753 |
| Mailing Address |
Po Box 629 Magnolia AR 71754 |
| Practice Telephone | 8702353000 |
| Mailing Telephone | 8702353000 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2017-01-17 |
| Authorized Official Name | MR. REX E JONES (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8702353212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Magnolia Obstetrical Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093736753 | Magnolia Regional Medical Center | Home Health | 833 N Washington, Magnolia, AR 71753 | 2006-07-21 |
| 1093298580 | Magnolia Regional Medical Center | Family Medicine | 104 Hospital Dr, Magnolia, AR 71753-2416 | 2018-09-11 |
| 1780097485 | Magnolia Regional Medical Center | Internal Medicine | 101 Hospital Drive, Magnolia, AR 71753 | 2014-06-10 |
| 1457662595 | Magnolia Regional Medical Center | Surgery | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2010-06-23 |
| 1891940714 | Magnolia Regional Medical Center | Surgery | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2008-11-19 |
| 1629179924 | Magnolia Regional Medical Center | Hospitalist | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-09-26 |
| 1861448219 | Magnolia Regional Medical Center | Clinic/Center | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-05-26 |
| 1447206735 | Magnolia Regional Medical Center | Clinic/Center | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-05-26 |
| 1215982376 | Magnolia Regional Medical Center | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Magnolia, AR 71753-0629 | 2006-05-24 |
| 1861445082 | Magnolia Regional Medical Center | Clinic/Center | 707 N Washington, Magnolia, AR 71754 | 2006-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAGNOLIA REGIONAL MEDICAL CENTER | 101 Hospital Drive, Magnolia, AR 71753-2415 |
| Street Address |
101 HOSPITAL DRIVE |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780097485 | Magnolia Regional Medical Center | Internal Medicine | 101 Hospital Drive, Magnolia, AR 71753 | 2014-06-10 |
| 1285755256 | Theresa G Mccallie | Surgery | 101 Hospital Drive, Magnolia, AR 71753 | 2007-04-03 |
| 1720002421 | Patricia D. Bocan | Nurse Anesthetist, Certified Registered | 101 Hospital Drive, Magnolia, AR 71753 | 2006-07-26 |
| 1871556639 | Scott Parley Brown | Family Medicine | 101 Hospital Drive, Magnolia, AR 71753 | 2006-04-11 |
| 1083675284 | John Eric Henriksen | Family Medicine | 101 Hospital Drive, Magnolia, AR 71753 | 2006-03-29 |
| 1922093202 | Lawson P Mcnary Jr. | Surgery | 101 Hospital Drive, Magnolia, AR 71753 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554015 | Embrace Fmo | Obstetrics & Gynecology | 1502 Se 28th St Ste 2, Bentonville, AR 72712-0076 | 2020-10-06 |
| 1518327287 | St. Bernards Hospital, Inc | Obstetrics & Gynecology | 4334 E Highland Dr Ste B, Jonesboro, AR 72401-6621 | 2016-02-24 |
| 1215147418 | John S.white,m.d. | Obstetrics & Gynecology | 1521 N 10th St Ste E, Blytheville, AR 72315-1424 | 2007-05-23 |
| 1164491270 | James Douglas Studdard | Obstetrics & Gynecology | 9501 Baptist Health Dr, Ste. 800, Little Rock, AR 72205-6225 | 2006-03-14 |
| 1235505074 | Rebecca Cisneros | Obstetrics & Gynecology | 7301 Rogers Ave, Fort Smith, AR 72903 | 2015-08-17 |
| 1124411095 | Robert P Young | Obstetrics & Gynecology | 10720 N Rodney Parham Rd, Suite B5, Little Rock, AR 72212-4177 | 2015-03-16 |
| 1548662182 | Omar Aziz | Obstetrics & Gynecology | 1200 Mclain St, Newport, AR 72112 | 2014-09-25 |
| 1558626556 | Natalie Zoe Eiland | Obstetrics & Gynecology | 603-2 N Progress Ave Ste 100, Siloam Springs, AR 72761-4113 | 2012-07-06 |
| 1497966808 | Carl Michael Riddell | Obstetrics & Gynecology | 5800 W 10th St, Ste.401, Little Rock, AR 72204-1752 | 2007-05-25 |
| 1518178938 | Julian Anthony Terry Sr. | Obstetrics & Gynecology | 3215 N Northhills Blvd, Ste 3, Fayetteville, AR 72703-4424 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
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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.