WASHINGTON REGIONAL MEDICAL SYSTEM (NPI# 1205073657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205073657 |
Entity Type | Organization |
Organization Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
Other Organization Name | WR OZARK UROLOGY |
Practice Address |
3 E Appleby Rd Suite 201 Fayetteville AR 72703 |
Mailing Address |
Po Box 550 Lowell AR 72745-0550 |
Practice Telephone | 4794041100 |
Practice Fax Number | 4794041101 |
Mailing Telephone | 4794637775 |
Mailing Fax Number | 4794637187 |
Enumeration Date | 2009-01-07 |
Last Update Date | 2019-09-05 |
Authorized Official Name | DANIEL ECKELS (CFO) |
Authorized Official Telephone | 4794632825 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 179183002 | 05 |
Other Name | Type Code |
---|---|
WR Ozark Urology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
1477004109 | Washington Regional Medical System | Colon & Rectal Surgery | 203 S Bloomington St, Lowell, AR 72745-9490 | 2016-10-18 |
1700297033 | Washington Regional Medical System | General Practice | 3 E. Appleby Road, Suite 101, Fayetteville, AR 72703 | 2014-05-08 |
1255758868 | Washington Regional Medical System | Internal Medicine | 82 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2014-03-20 |
1578806477 | Washington Regional Medical System | Internal Medicine | 813 Founders Park Dr E Ste 203, Springdale, AR 72762-6314 | 2013-03-29 |
1871866038 | Washington Regional Medical System | Family Medicine | 715 W Sherman Ave Ste G, Harrison, AR 72601-2737 | 2012-02-20 |
1639282197 | Washington Regional Medical System | Family Medicine | 106 East Park Street, Lincoln, AR 72744 | 2006-08-17 |
1588618292 | Washington Regional Medical System | Clinic/Center | 3211 N North Hills Blvd, Fayetteville, AR 72703 | 2006-05-19 |
1437102662 | Washington Regional Medical System | Family Medicine | 146 A Passion Play Rd, Eureka Springs, AR 72632 | 2006-05-18 |
1598715302 | Washington Regional Medical System | Internal Medicine | 3000 Nw A St, Bentonville, AR 72712-3985 | 2006-05-11 |
Street Address |
3 E APPLEBY RD SUITE 201 |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033283155 | Dalton L Gray II | Emergency Medicine | 3 E Appleby Rd, Suite 101, Fayetteville, AR 72703 | 2006-11-20 |
1497134696 | Bao Q Pham | Family Medicine | 3 E Appleby Rd, Suite 301, Fayetteville, AR 72703 | 2015-05-21 |
1477960920 | Ravonne John | Nurse Practitioner | 3 E Appleby Rd, Suite 202, Fayetteville, AR 72703-3158 | 2014-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
Find all providers in zip 72703 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679581003 | Carolina Lithotripsy Ldt | Urology | 2014 Litho Place, Fayetteville, NC 28304 | 2006-08-03 |
1003873050 | Richard D Mcwhorter | Urology | 2 East Appleby Rd., Suite 201, Fayetteville, AR 72703 | 2006-04-26 |
1881656924 | Fayetteville Urology Associates Pa | Urology | 1786 Metromedical Drive, Fayetteville, NC 28304 | 2006-04-04 |
1801860630 | Philip R Kreitzer | Urology | 4211 Medical Center Dr, Suite 211, Fayetteville, NY 13066-6637 | 2006-02-16 |
1861476897 | Nirmal K Kilambi | Urology | 1300 E Zion Rd, Fayetteville, AR 72703-5015 | 2005-12-02 |
1013912369 | Albert Vazquez Lugo | Urology | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2005-06-14 |
1124022561 | Henry Edward Parfitt Jr. | Urology | 1786 Metromedical Dr, Fayetteville, NC 28304-3861 | 2005-06-13 |
1861026619 | Georgia Urology Piedmont, LLC | Urology | 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214-4574 | 2020-03-02 |
1548755903 | Cumberland County Hospital System Inc | Urology | 1537 Owen Park Ln, Fayetteville, NC 28304-3454 | 2018-06-28 |
1295122315 | Mark William Pickhardt | Urology | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-04-16 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 72703 |
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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.