WASHINGTON REGIONAL MEDICAL SYSTEM


Address: 3 E Appleby Rd, Suite 201, Fayetteville, AR 72703
Phone: 4794041100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 179183002 05

Other Provider/Organization Names

Other Name Type Code
WR Ozark Urology Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3 E APPLEBY RD
SUITE 201
City FAYETTEVILLE
State AR
Zip Code 72703

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City FAYETTEVILLE
Zip Code 72703

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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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