WASHINGTON REGIONAL MEDICAL SYSTEM


Address: 3215 N Northhills Blvd, Washington Regional Psychiatric Clinic, Fayetteville, AR 72703-4424
Phone: 4794632004

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 148784002 05

Other Provider/Organization Names

Other Name Type Code
Washington Regional Psychiatric Clinic 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 3215 N NORTHHILLS BLVD
WASHINGTON REGIONAL PSYCHIATRIC CLINIC
City FAYETTEVILLE
State AR
Zip Code 72703-4424

Providers in the same location

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
Find all providers in the same location

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 2084P0805X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Geriatric Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902856867 Gary A Linker Psychiatry & Neurology 12 E Appleby, Suite 101, Fayetteville, AR 72703 2006-05-11

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 72703

Improve Information

Please comment or provide details below to improve the information on WASHINGTON REGIONAL MEDICAL SYSTEM.

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.

Trending Searches