CONWAY REGIONAL MEDICAL CENTER, INC. (NPI# 1396913976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396913976 |
Entity Type | Organization |
Organization Name | CONWAY REGIONAL MEDICAL CENTER, INC. |
Other Organization Name | CONWAY REGIONAL HOSPITALIST PHYSICIANS |
Practice Address |
1700 Altus St Conway AR 72032-4289 |
Mailing Address |
Po Box 9662 Conway AR 72033-9662 |
Practice Telephone | 5018521363 |
Practice Fax Number | 5018521364 |
Mailing Telephone | 5017454914 |
Mailing Fax Number | 5017456374 |
Enumeration Date | 2008-02-15 |
Last Update Date | 2020-04-03 |
Authorized Official Name | STEPHANIE COTHRAN (BUSINESS OFFICE MANAGER) |
Authorized Official Telephone | 5017452122 |
Is Organization Subpart | Y |
Parent Organization Name | CONWAY REGIONAL MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208M00000X | Hospitalist | 2657 | AR | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Conway Regional Hospitalist Physicians | 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 |
1255879656 | Conway Regional Medical Center, Inc. | Psychiatry & Neurology | 2200 Ada Ave, Suite 305, Conway, AR 72034-4985 | 2017-02-06 |
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 |
Street Address |
1700 ALTUS ST |
City | CONWAY |
State | AR |
Zip Code | 72032-4289 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699763441 | Reda Denise Reed | Nurse Practitioner | 1700 Altus St, Ste 110, Conway, AR 72032-4299 | 2005-10-06 |
1770014490 | Kuna Tiga Fombutu Epse Okong | Hospitalist | 1700 Altus St, Conway, AR 72032-4289 | 2017-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
Find all providers in zip 72032 |
Taxonomy Code | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740411511 | Chandra S Lingisetty | Hospitalist | College Avenue, 2302 Conway Regional Medical Center, Conway, AR 72034 | 2009-07-28 |
1770014490 | Kuna Tiga Fombutu Epse Okong | Hospitalist | 1700 Altus St, Conway, AR 72032-4289 | 2017-03-23 |
1851717623 | Physician At Home, PC | Hospitalist | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2014-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
1043865082 | Sean Luke Davidson | Hospitalist | 3305 Malloy St, Little Rock, AR 72204-4480 | 2019-08-06 |
1932520764 | South Arkansas Emergency Physicians, LLP | Hospitalist | 4301 Johnson Mill Blvd, Johnson, AR 72741-0001 | 2013-12-20 |
1447671490 | South Arkansas Emergency Physicians, LLP | Hospitalist | 3000 Se Medical Center Pkwy, Bentonville, AR 72712-3217 | 2013-12-18 |
1033454723 | Prime Physicians LLC | Hospitalist | 5808 Callaway Ln, Fort Smith, AR 72916-8437 | 2012-12-06 |
1316204746 | Stephanie Michelle Henkel | Hospitalist | 2710s Rife Medical Ln, Rogers, AR 72758-1452 | 2012-04-23 |
1629366471 | Chandra Shekhar Dasari | Hospitalist | 4301 W Markham St # 795, Little Rock, AR 72205-7101 | 2011-07-14 |
1316230816 | Joe David May | Hospitalist | 8072 Ironstone Dr, Alexander, AR 72002-5007 | 2011-05-17 |
1821282526 | Abhijit Shivkumar | Hospitalist | 225 E Jackson, St Bernards Medical Center, Jonesboro, AR 72401-3119 | 2007-09-05 |
1821292319 | Abul Kamal | Hospitalist | 2, Saint Vincent Circle, Saint Vincent Hospital, Hospitalist Office, Little Rock, AR 72205 | 2007-06-11 |
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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.