WASHINGTON REGIONAL MEDICAL SYSTEM (NPI# 1255758868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255758868 |
| Entity Type | Organization |
| Organization Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Other Organization Name | WASHINGTON REGIONAL ENDOCRINOLOGY |
| Practice Address |
82 W Sunbridge Dr Fayetteville AR 72703-1822 |
| Practice Telephone | 4794637400 |
| Practice Fax Number | 4794637413 |
| Mailing Telephone | 4794637400 |
| Mailing Fax Number | 4794637413 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | MR. WILLIAM L BRADLEY (CEO) |
| Authorized Official Telephone | 4794636300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Washington Regional Endocrinology | 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 |
| 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 |
| 1881650497 | Washington Regional Medical System | Clinic/Center | 82 W Sunbridge, Fayetteville, AR 72703 | 2006-04-22 |
| Street Address |
82 W SUNBRIDGE DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243370 | Star Pediatric Therapy LLC | Speech-Language Pathologist | 82 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2018-08-02 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1609197318 | Anuradha Guthikonda | Internal Medicine | 1265 Highway 24 West, Suite 302, Fayetteville, GA 30214 | 2010-06-16 |
| 1851427991 | Fayetteville Endocrinology and Diabetes Clinic Pa | Internal Medicine | 105 Roxie Ave, Fayetteville, NC 28304-2123 | 2007-02-25 |
| 1710043492 | Kelly Natasha Wood | Internal Medicine | 1265 Highway 54 W Ste 302, Fayetteville, GA 30214 | 2006-12-28 |
| 1558527127 | Annie Quinn Morrissey | Internal Medicine | 1265 Highway 54 W Ste 302, Fayetteville, GA 30214-4537 | 2008-08-04 |
| 1598929747 | Yvonne Weledji Ngale | Internal Medicine | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2008-07-17 |
| 1952561599 | Lauren B Hawkins | Internal Medicine | 3 East Appleby Rd., Suite 202, Fayetteville, AR 72703-4424 | 2008-06-16 |
| 1760418800 | Hermann J Wendorff | Internal Medicine | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770087371 | Mercy Health Northwest Arkansas Communities | Internal Medicine | 2112 S 54th St, Rogers, AR 72758-8169 | 2018-03-20 |
| 1699016774 | Mercy Health Northwest Arkansas Communities | Internal Medicine | 3333 S Pinnacle Hills Pkwy Ste 300, Rogers, AR 72758 | 2013-03-14 |
| 1811252786 | Sowmya Chandra Reddy | Internal Medicine | 3500 Springhill Dr Ste 200, North Little Rock, AR 72117-2948 | 2012-07-06 |
| 1952637951 | James R Thrasher, M.d., P.a. | Internal Medicine | 11400 Huron Lane, 11400 Huron Lane, Little Rock, AR 72211-1847 | 2009-10-26 |
| 1487801056 | Archana Jarathi | Internal Medicine | 11321 I 30 Ste 200, Little Rock, AR 72209-7066 | 2008-08-26 |
| 1699932319 | Lyndell C Horine | Internal Medicine | 3333 Pinnacle Hills Pkwy Ste 300-b, Rogers, AR 72758-9100 | 2008-05-20 |
| 1396854352 | Irina Lendel | Internal Medicine | 4301 W Markham St # 587, Little Rock, AR 72205-7101 | 2006-08-30 |
| 1881646180 | Richard F Griffiths | Internal Medicine | 701 N University Ave Ste 201, Little Rock, AR 72205-2936 | 2006-05-16 |
| 1316905409 | Nadine Helen Alex | Internal Medicine | 593 Horsebarn Rd, Suite 203, Rogers, AR 72758-8795 | 2006-05-01 |
| 1649277401 | Frederick B Niegos | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2005-07-07 |
| Find all providers with the same taxonomy | ||||
| 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.