CONWAY REGIONAL MEDICAL CENTER, INC. (NPI# 1255879656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255879656 |
| Entity Type | Organization |
| Organization Name | CONWAY REGIONAL MEDICAL CENTER, INC. |
| Other Organization Name | CONWAY REGIONAL NEUROSCIENCE CENTER |
| Practice Address |
2200 Ada Ave Suite 305 Conway AR 72034-4985 |
| Practice Telephone | 5019320352 |
| Practice Fax Number | 5019320354 |
| Mailing Telephone | 5019320352 |
| Mailing Fax Number | 5019320354 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | MR. BILLY HENRY (DIRECTOR) |
| Authorized Official Telephone | 5013271325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Conway Regional Neuroscience Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376025544 | Conway Regional Medical Center, Inc. | Internal Medicine | 2200 Ada Ave Ste 203, Conway, AR 72034-4984 | 2018-09-04 |
| 1851389605 | Conway Regional Medical Center, Inc. | Clinic/Center | 606 Highway 365, Mayflower, AR 72106-9595 | 2005-10-06 |
| 1730601451 | Conway Regional Medical Center, Inc. | Orthopaedic Surgery | 525 Western Ave Ste 302, Conway, AR 72034-4981 | 2017-07-14 |
| 1538615927 | Conway Regional Medical Center, Inc. | Clinic/Center | 525 Western Ave, Suite 202, Conway, AR 72034-4967 | 2016-08-26 |
| 1275990871 | Conway Regional Medical Center, Inc. | Family Medicine | 1 Medical Ln, Conway, AR 72034-4912 | 2016-01-27 |
| 1396913976 | Conway Regional Medical Center, Inc. | Hospitalist | 1700 Altus St, Conway, AR 72032-4289 | 2008-02-15 |
| Street Address |
2200 ADA AVE SUITE 305 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-4985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152329 | Rafael Jorge Marrero | Otolaryngology | 2200 Ada Ave, Suite 202, Conway, AR 72034 | 2005-05-24 |
| 1568820389 | Kara Lindsey Sierra | Nurse Practitioner | 2200 Ada Ave, Conway, AR 72034-4985 | 2016-02-08 |
| 1649545302 | Casey Leigh Brock | Nurse Practitioner | 2200 Ada Ave, Ste 203, Conway, AR 72034-4985 | 2012-03-14 |
| 1861725871 | Conway Emergency Physicians, P.a. | General Practice | 2200 Ada Ave, Conway, AR 72034-4985 | 2009-09-09 |
| 1407001720 | Samuel Cary Kelso | Audiologist-Hearing Aid Fitter | 2200 Ada Ave, Suite 202, Conway, AR 72034-4985 | 2008-12-01 |
| 1427202639 | Conway Emergency Physicians, P.a. | General Practice | 2200 Ada Ave, Conway, AR 72034-4985 | 2008-11-14 |
| 1790886463 | Conway Digestive Health Center, Inc. | Internal Medicine | 2200 Ada Ave, Suite 201, Conway, AR 72034-4985 | 2006-09-26 |
| 1093772436 | Central Arkansas Ear Nose & Throat Clinic | Otolaryngology | 2200 Ada Ave, Ste 202, Conway, AR 72034 | 2006-04-28 |
| 1821059759 | Arkansas Neurology, Inc. | Neuromusculoskeletal Medicine & OMM | 2200 Ada Ave, Conway, AR 72034-4985 | 2006-03-30 |
| 1588625412 | Schluterman Neurology, Inc. | Neuromusculoskeletal Medicine & OMM | 2200 Ada Ave, Conway, AR 72034-4985 | 2006-03-30 |
| Find all providers in the same location | ||||
| 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 Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346769767 | Arkansas Health Group | Psychiatry & Neurology | 625 United Dr Ste 370b, Conway, AR 72032-7826 | 2017-09-18 |
| 1093876435 | Mario S. Bangco, Md, Pa | Psychiatry & Neurology | 170 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2006-12-12 |
| 1447229141 | Mario S Bangco | Psychiatry & Neurology | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-03-15 |
| 1104223908 | Conway Hospital Inc | Psychiatry & Neurology | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2014-11-24 |
| 1598104234 | Praveen Kumar Vemuri | Psychiatry & Neurology | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2013-06-16 |
| 1790860716 | David Allen Oberlander | Psychiatry & Neurology | 400 Salem Rd, Bldg 3 Suite 1, Conway, AR 72034-6162 | 2006-10-26 |
| 1811072838 | Conway Neurology Pa | Psychiatry & Neurology | 400 Salem Rd, Bldg 3 Suite 1, Conway, AR 72034-6162 | 2006-10-26 |
| 1174520258 | Timothy E Freyaldenhoven | Psychiatry & Neurology | 2200 Ada Ave, Ste 305, Conway, AR 72034-4986 | 2005-07-05 |
| 1053318147 | Keith O Schluterman | Psychiatry & Neurology | 2200 Ada Ave, Ste 305, Conway, AR 72034-4985 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1588143259 | Baptist Health Services | Psychiatry & Neurology | 1500 Dodson Ave Ste 290, Fort Smith, AR 72901 | 2018-08-13 |
| 1588016471 | William Denson | Psychiatry & Neurology | 8 Rebanar Ln, Hot Springs Village, AR 71909-3700 | 2016-07-05 |
| 1982082970 | Ernest Escarza Serrano | Psychiatry & Neurology | 3405 Ramsgate Way, Fort Smith, AR 72908-9359 | 2015-05-11 |
| 1942602156 | Baxter County Regional Hospital, Inc | Psychiatry & Neurology | 624 Hospital Dr Ste 2b, Mountain Home, AR 72653-2955 | 2014-09-18 |
| 1588079560 | Pradeep Reddy Kumbham | Psychiatry & Neurology | 2900 Medical Center Pkwy Ste 310, Bentonville, AR 72712-3214 | 2014-06-27 |
| 1104260819 | Rebecca Lee Jones | Psychiatry & Neurology | 8201 Cantrell Rd Ste 265, Little Rock, AR 72227-2347 | 2013-04-24 |
| 1811242639 | Mhd Ezzat Zaghlouleh | Psychiatry & Neurology | 501 Jack Stephens Dr Fl 8, Little Rock, AR 72205 | 2012-07-18 |
| 1033476726 | Jay P Hinkle | Psychiatry & Neurology | 3336 N. Futrall, Fayetteville, AR 72703 | 2012-04-18 |
| 1639467442 | Gordon L. Gibson, M. D., P. A. | Psychiatry & Neurology | 106 Ridgeway, Suites A & B, Hot Springs, AR 71901-7157 | 2011-07-13 |
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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.