MAGNOLIA REGIONAL MEDICAL CENTER (NPI# 1457662595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457662595 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA REGIONAL MEDICAL CENTER |
| Other Organization Name | MRMC WOUND CARE SERVICES |
| Practice Address |
101 Hospital Dr Magnolia AR 71753-2415 |
| Mailing Address |
Po Box 629 Magnolia AR 71754-0629 |
| Practice Telephone | 8702353600 |
| Practice Fax Number | 8702353647 |
| Mailing Telephone | 8702353600 |
| Mailing Fax Number | 8702353647 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |
| Authorized Official Name | MRS. MARGARET WEST (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8702353211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | AR4638 | AR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MRMC Wound Care Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093736753 | Magnolia Regional Medical Center | Home Health | 833 N Washington, Magnolia, AR 71753 | 2006-07-21 |
| 1093298580 | Magnolia Regional Medical Center | Family Medicine | 104 Hospital Dr, Magnolia, AR 71753-2416 | 2018-09-11 |
| 1780097485 | Magnolia Regional Medical Center | Internal Medicine | 101 Hospital Drive, Magnolia, AR 71753 | 2014-06-10 |
| 1073893665 | Magnolia Regional Medical Center | Obstetrics & Gynecology | 101 Hospital Drive, Magnolia, AR 71753 | 2011-08-26 |
| 1891940714 | Magnolia Regional Medical Center | Surgery | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2008-11-19 |
| 1629179924 | Magnolia Regional Medical Center | Hospitalist | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-09-26 |
| 1861448219 | Magnolia Regional Medical Center | Clinic/Center | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-05-26 |
| 1447206735 | Magnolia Regional Medical Center | Clinic/Center | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-05-26 |
| 1215982376 | Magnolia Regional Medical Center | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Magnolia, AR 71753-0629 | 2006-05-24 |
| 1861445082 | Magnolia Regional Medical Center | Clinic/Center | 707 N Washington, Magnolia, AR 71754 | 2006-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAGNOLIA REGIONAL MEDICAL CENTER | 101 Hospital Drive, Magnolia, AR 71753-2415 |
| Street Address |
101 HOSPITAL DR |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407541 | Magnolia Regional Health System Inc | General Acute Care Hospital | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2020-05-04 |
| 1093336026 | Magnolia Regional Health System Inc | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2020-04-30 |
| 1952922981 | Magnolia Regional Health System Inc | Nurse Anesthetist, Certified Registered | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2020-04-30 |
| 1043575178 | Jason Ross Touchton | Emergency Medicine | 101 Hospital Dr, Magnolia, AR 71753 | 2012-07-04 |
| 1891940714 | Magnolia Regional Medical Center | Surgery | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2008-11-19 |
| 1336295211 | Jimmie Lee Ballard | Dietitian, Registered | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2007-01-25 |
| 1821199373 | Margaret Mayree West | Dietitian, Registered | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-09-26 |
| 1629179924 | Magnolia Regional Medical Center | Hospitalist | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-09-26 |
| 1861448219 | Magnolia Regional Medical Center | Clinic/Center | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-05-26 |
| 1447206735 | Magnolia Regional Medical Center | Clinic/Center | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760904684 | Celia Hicks | Surgery | 30503 N Sulphur Creek Dr, Magnolia, TX 77355 | 2017-07-12 |
| 1477878361 | Anselm Jingwa Tintinu | Surgery | 104 E Columbia, Magnolia, AR 71753-2436 | 2010-04-02 |
| 1508851320 | Moises A Menendez | Surgery | 101 Hosptial Drive, Magnolia, AR 71753 | 2005-09-19 |
| 1568083491 | Magnolia Regional Health System Inc | Surgery | 104 E Columbia, Magnolia, AR 71753-2436 | 2020-05-01 |
| 1891940714 | Magnolia Regional Medical Center | Surgery | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2008-11-19 |
| 1285755256 | Theresa G Mccallie | Surgery | 101 Hospital Drive, Magnolia, AR 71753 | 2007-04-03 |
| 1922093202 | Lawson P Mcnary Jr. | Surgery | 101 Hospital Drive, Magnolia, AR 71753 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962981928 | Baptist Heath Services | Surgery | 1500 Dodson Ave Ste 250, Fort Smith, AR 72901 | 2018-08-10 |
| 1932697877 | Nachtigal and Nachtigal General and Vascular Surgery, Pllc | Surgery | 230 Highway 5 N Ste 10, Mountain Home, AR 72653-3013 | 2018-04-26 |
| 1982108056 | Anthony T Manning Md Pllc | Surgery | 525 Western Ave Ste 203, Conway, AR 72034-4980 | 2018-03-22 |
| 1952840555 | Arkansas Health Group | Surgery | 1703 N Buerkle St Ste 4, Stuttgart, AR 72160-3153 | 2017-02-15 |
| 1295154789 | Nolan R Bruce | Surgery | 4301 W Markham St # 520-1, Little Rock, AR 72205-7101 | 2014-04-10 |
| 1164846887 | Northwest Arkansas Breast Care Specialists, Ltd. | Surgery | 701 S Horsebarn Rd, Suite 100, Rogers, AR 72758-8737 | 2014-02-17 |
| 1265867493 | James W. Slezak, Jr., M.d., P.a. | Surgery | 116 Woodcliff Rd, Springdale, AR 72764-3691 | 2013-09-06 |
| 1366888711 | Raj Patel | Surgery | 4100 Outpatient Cirlce, 616, Little Rock, AR 72205 | 2013-05-13 |
| 1386987766 | Rebecca Empting Bittenbinder | Surgery | 400 Jack Stephens Dr Fl 2, Little Rock, AR 72205 | 2013-04-03 |
| 1164763918 | Cynthia J Amram | Surgery | 3015 E Joyce Blvd, Fayetteville, AR 72703-4526 | 2013-03-04 |
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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.