WASHINGTON REGIONAL MEDICAL SYSTEM (NPI# 1356842884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356842884 |
| Entity Type | Organization |
| Organization Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Other Organization Name | CARDIOVASCULAR SURGICAL OF NORTHWEST ARKANSAS WASHINGTON REGIONAL |
| Practice Address |
3276 N Northhills Blvd Fayetteville AR 72703-4005 |
| Mailing Address |
54 W Sunbridge Dr Fayetteville AR 72703-1822 |
| Practice Telephone | 4795871114 |
| Practice Fax Number | 4795871119 |
| Mailing Telephone | 4794632597 |
| Mailing Fax Number | 4794632599 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DANIEL R ECKELS (CFO) |
| Authorized Official Telephone | 4794632825 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cardiovascular Surgical Clinic of Northwest Arkansas Washington Regional | Doing Business As Name - Organization |
| Cardiovascular Surgical of Northwest Arkansas Washington Regional | 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 |
3276 N NORTHHILLS BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679552970 | Washington Regional Medical System | Specialist | 3276 N Northhills Blvd, Fayetteville, AR 72703 | 2006-01-13 |
| 1780218206 | Tara Howerton | Nurse Practitioner | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-02-24 |
| 1235779349 | Meagan Nicole Backs | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-01-07 |
| 1366422404 | Thomas Godon Simmons | Physician Assistant | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2006-01-17 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144268798 | Sandhills Heart Surgery Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3419a Melrose Rd, Fayetteville, NC 28304-1608 | 2006-06-04 |
| 1699775825 | Gregory Stephen Keagy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2153 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3681 | 2005-07-29 |
| 1235779349 | Meagan Nicole Backs | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-01-07 |
| 1366822595 | Mcpc-10, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 530 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2015-06-03 |
| 1386084671 | Cumberland County Hospital System, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2153 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3681 | 2013-07-01 |
| 1922019777 | John C Alexander | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2006-08-10 |
| 1528087772 | Robert E Maughan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2153 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3681 | 2006-07-19 |
| 1235192725 | Cape Fear Cardiovascular & Thoracic Surgery Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2153 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3667 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215322003 | George Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 53 Quercus Cir, Little Rock, AR 72223-5159 | 2015-03-30 |
| 1033404199 | Jack Stephens Heart Institute LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 St. Vincent Circle, Ste 501, Little Rock, AR 72205-5414 | 2011-06-16 |
| 1710146907 | J P Rowen Surgery, Plc LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9501 Lile Dr Ste 888, Little Rock, AR 72205-6233 | 2008-06-03 |
| 1811073604 | Watkins, Bauer & Meadors, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Saint Vincent Cir Ste 501, Little Rock, AR 72205-5414 | 2006-10-27 |
| 1376640284 | Reginald Wb Barnes Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | One St Vincent Circle Suite 360, Little Rock, AR 72205 | 2006-09-20 |
| 1487690186 | Marc Denton Stam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 Lexington Ave, Fort Smith, AR 72901-4737 | 2006-06-21 |
| 1851354393 | James A Ameika | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3100 Apache Dr, Suite B4, Jonesboro, AR 72401 | 2006-04-07 |
| 1023009040 | Victor Bernard Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9712 W Markham St, Little Rock, AR 72205-2124 | 2005-10-31 |
| 1699779686 | Paul S Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4802 E Johnson Ave, Jonesboro, AR 72401 | 2005-06-08 |
| 1265435085 | Travis M Spears | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 628 Stone Rd, Saint Joe, AR 72675-1423 | 2005-05-24 |
| 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.