WASHINGTON REGIONAL MEDICAL SYSTEM (NPI# 1366408973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366408973 |
Entity Type | Organization |
Organization Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
Other Organization Name | WASHINGTON REGIONAL PSYCHIATRIC CLINIC |
Practice Address |
3215 N Northhills Blvd Washington Regional Psychiatric Clinic Fayetteville AR 72703-4424 |
Mailing Address |
12 E Appleby Clinic Administration Fayetteville AR 72703 |
Practice Telephone | 4794632004 |
Practice Fax Number | 4794637864 |
Mailing Telephone | 4794631704 |
Mailing Fax Number | 4794637864 |
Enumeration Date | 2006-04-22 |
Last Update Date | 2010-09-20 |
Authorized Official Name | DAN ECKELS (VICE PRESIDENT AND CFO) |
Authorized Official Telephone | 4794636026 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 148784002 | 05 |
Other Name | Type Code |
---|---|
Washington Regional Psychiatric Clinic | 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 |
3215 N NORTHHILLS BLVD WASHINGTON REGIONAL PSYCHIATRIC CLINIC |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703-4424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083609150 | Washington Regional Medical Center | General Acute Care Hospital | 3215 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2005-09-15 |
1710593207 | Christopher Donavan Watts | Driver | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2020-09-20 |
1255947743 | Sarah Grace Groves | Physical Therapist | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2020-09-20 |
1063048817 | Kenita Davis | Nurse Practitioner | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2020-03-12 |
1114558996 | Samar Qedan | Nurse Practitioner | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2020-01-30 |
1740842509 | Natasha Lee Wilhite | Nurse Practitioner | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2019-07-02 |
1710473111 | Cari Addington | Nurse Practitioner | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2018-07-09 |
1275024127 | Iris Louise Berry | Registered Nurse | 3215 N Northhills Blvd, Fayetteville, AR 72703 | 2018-05-27 |
1003304213 | Brittany Huls | Registered Nurse | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2018-04-24 |
1013447846 | Paige Lauren Davis | Nurse Practitioner | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2017-06-14 |
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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 | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902856867 | Gary A Linker | Psychiatry & Neurology | 12 E Appleby, Suite 101, Fayetteville, AR 72703 | 2006-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811170301 | Annette N. Anderson | Psychiatry & Neurology | 495 Hogan Ln Ste 2, Conway, AR 72034-8498 | 2007-12-07 |
1184674962 | Michael G Hollomon | Psychiatry & Neurology | 601 W Maple, Suite 403, Springdale, AR 72764-5374 | 2006-05-11 |
1548230550 | Graham Mack Reid | Psychiatry & Neurology | 10816 Executive Center Dr, Suite 101, Little Rock, AR 72211-4384 | 2006-01-23 |
1306843396 | William Martin Meaney | Psychiatry & Neurology | 907 Mena St, Mena, AR 71953-4247 | 2005-07-05 |
1558667683 | Annette N. Anderson, Md, Pa | Psychiatry & Neurology | 2425 Dave Ward Dr, Suite 102, Conway, AR 72034-8686 | 2011-02-08 |
1083932362 | Margaret Amanda Ege-woolley | Psychiatry & Neurology | 4301 W Markham St, Mail Slot 552, Little Rock, AR 72205-7101 | 2010-05-11 |
1174644140 | Joshua Woolley | Psychiatry & Neurology | 2200 Fort Roots Dr, Building 170 Unit 1l, North Little Rock, AR 72114-1709 | 2007-04-03 |
1154411627 | Lou Eads | Psychiatry & Neurology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
1336253533 | Monica Rohde Shotwell | Psychiatry & Neurology | 2200 Fort Roots Dr, Bldg 170, Ward 1h, North Little Rock, AR 72114-1709 | 2006-08-18 |
1366458044 | Dinesh Mittal | Psychiatry & Neurology | 2200 Fort Roots Dr, Building 58 (152/nlr), North Little Rock, AR 72114-1709 | 2006-08-01 |
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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.