CONWAY REGIONAL MEDICAL CENTER INC.


Address: 550 Club Ln Ste 1, Conway, AR 72034-3681
Phone: 5013291510

CONWAY REGIONAL MEDICAL CENTER INC. (NPI# 1174092217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174092217
Entity Type Organization
Organization Name CONWAY REGIONAL MEDICAL CENTER INC.
Other Organization Name CONWAY ORTHOPEDIC AND SPORTS MEDICINE CENTER
Practice Address 550 Club Ln Ste 1
Conway
AR 72034-3681
Practice Telephone 5013291510
Practice Fax Number 5013295697
Mailing Telephone 5013291510
Mailing Fax Number 5013295697
Enumeration Date 2018-11-19
Last Update Date 2020-05-12
Authorized Official Name ALAN FINLEY (COO)
Authorized Official Telephone 5014502114
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Conway Orthopedic and Sports Medicine Center Doing Business As Name - Organization
Conway Regional Conway Orthopaedic and Sports Medicine Center Doing Business As Name - Organization
Conway Regional Orthopedic and Sports Medicine Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811446206 Conway Regional Medical Center Inc. Family Medicine 5395 W Ash St, Suite 2, Pottsville, AR 72858-9170 2016-09-26
1265421861 Conway Regional Medical Center Inc. Clinic/Center 2526 Highway 65 S, Suite 203, Clinton, AR 72031-6657 2005-10-17

Office Location

Street Address 550 CLUB LN STE 1
City CONWAY
State AR
Zip Code 72034-3681

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013563758 Shelby M Perez Case Manager/Care Coordinator 3240 Stermer Rd, Conway, AR 72034 2019-08-16
1467932772 Faith J Parfait Licensed Practical Nurse 1352 Watkins St, Conway, AR 72034 2018-08-16
1043790611 David Adam Steinfeld Nurse Practitioner 855 S German Ln Ste 1, Conway, AR 72034 2018-08-14
1245728484 Conway Behavioral Health, LLC Psychiatry & Neurology 2255 Sturgis Rd, Conway, AR 72034 2018-04-24
1972007292 Eldercare of Arkansas IIi, Inc. Assisted Living Facility 1306 S. Donaghey, Conway, AR 72034 2018-03-21
1528561404 Kouhei Kobayashi Specialist/Technologist 2201 Moix Blvd., Apt. 908, Conway, AR 72034 2018-03-16
1780191015 Sydnie Thessing Nurse Practitioner 605 Dave Ward Drive #105, Conway, AR 72034 2018-01-09
1508371865 Ebony Latreace Charleston Case Manager/Care Coordinator 3240 Stermer Road, Conway, AR 72034 2017-12-08
1689190647 Denise Annette Aikman Dentist 1210 Hogan Lane, Suite 200, Conway, AR 72034 2017-08-21
1134669138 Hortons Orthotic Lab, Inc. Prosthetic/Orthotic Supplier 635 Dave Ward, Suite 103, Conway, AR 72034 2017-02-24
Find all providers in zip 72034

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992966295 Brent Martell Lawrence Orthopaedic Surgery 800 Exchange Ave Ste 102b, Conway, AR 72032-7833 2008-06-19
1922090471 Benjamin M Dodge Orthopaedic Surgery 550club Lane, Suite 1, Conway, AR 72034-3681 2005-08-19
1073505541 Robert F Mccarron Orthopaedic Surgery 550 Club Lane, Suite 1, Conway, AR 72034-3681 2005-08-19
1508858036 Thomas S Roberts Orthopaedic Surgery 525 Western Ave Ste 302, Conway, AR 72034 2005-08-19
1669973517 Orthosc LLC Orthopaedic Surgery 2376 Cypress Cir Ste 300, Conway, SC 29526 2018-02-26
1851600753 Todd Tupis Orthopaedic Surgery 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 2010-09-27
1144541210 James Head Orthopaedic Surgery 550 Club Ln, Conway, AR 72034-3681 2010-06-11
1073771671 James T Howell Jr. Orthopaedic Surgery 550 Club Lane, Suite 1, Conway, AR 72034 2008-05-30
1245402924 Peter N Ramsey Orthopaedic Surgery 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 2008-04-02
1023212024 John Christopher Gayton Orthopaedic Surgery 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 2007-06-13
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Competitor

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City CONWAY
Zip Code 72034

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Dataset Information

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.

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