DR. REGINA R HUDEC (NPI# 1558385260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558385260 |
| Entity Type | Individual |
| Full Name | DR. REGINA R HUDEC |
| Other Name | DR. GINA ROSA HUDEC |
| Credential | M.D. |
| Practice Address |
3017 N Bob Younkin Dr Suite 101 Fayetteville AR 72703-3926 |
| Practice Telephone | 4795211484 |
| Practice Fax Number | 4795211550 |
| Mailing Telephone | 4795211484 |
| Mailing Fax Number | 4795211550 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | N8290 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 130868001 | 05 | |
| AR | QUALCHOICE | 1652645001 | 01 |
| OK | 200062630A | 05 |
| Street Address |
3017 N BOB YOUNKIN DR SUITE 101 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905587 | Ozark Surgical Associates | Surgery | 3017 N Bob Younkin Dr, Suite 101, Fayetteville, AR 72703-3926 | 2005-10-10 |
| 1558875344 | Elissa Paige Honea | Audiologist | 3017 N Bob Younkin Dr, Fayetteville, AR 72703-3926 | 2017-12-01 |
| 1265820542 | Heather Layne Hutchison | Nurse Practitioner | 3017 N Bob Younkin Dr, Suite 201, Fayetteville, AR 72703-3926 | 2015-01-08 |
| 1063753739 | Susan Renee Penn | Dietitian, Registered | 3017 N Bob Younkin Dr, Fayetteville, AR 72703-3926 | 2013-03-06 |
| 1639465719 | Chet Alvis Crawford | Family Medicine | 3017 N Bob Younkin Dr, Fayetteville, AR 72703-3926 | 2011-06-27 |
| 1093729246 | Ronald J Mullis | Surgery | 3017 N Bob Younkin Dr, Suite 101, Fayetteville, AR 72703-3926 | 2006-07-27 |
| 1659385821 | Jeffrey D Kellar | Surgery | 3017 N Bob Younkin Dr, Suite 101, Fayetteville, AR 72703-3926 | 2006-07-27 |
| 1386658540 | Wayne A Hudec | Surgery | 3017 N Bob Younkin Dr, Suite 101, Fayetteville, AR 72703-3926 | 2006-07-27 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700297033 | Washington Regional Medical System | General Practice | 3 E. Appleby Road, Suite 101, Fayetteville, AR 72703 | 2014-05-08 |
| 1053754622 | Hessel Kooistra IIi | General Practice | 10971 Rocky Creek Rd, Fayetteville, AR 72701-0614 | 2013-04-12 |
| 1861636607 | John James Sacco | General Practice | 5018 Worthington Way, Fayetteville, NY 13066-8703 | 2009-04-23 |
| 1093877441 | Michael R Ressal | General Practice | 3415 C1 Melrose Road, Fayetteville, NC 28304-1608 | 2006-12-14 |
| 1184727711 | Donald Eric Milmore | General Practice | 120 Walnut Street, Fayetteville, NY 13066-2028 | 2006-09-07 |
| 1710993654 | Scott David Fedosky | General Practice | 2603 Main Dr, Suite # 6, Fayetteville, AR 72704-5278 | 2006-07-31 |
| 1356377741 | Linda M Ekman | General Practice | 117 E Sycamore St, Fayetteville, AR 72703-2540 | 2006-06-25 |
| 1902832660 | Janet Lynn Titus | General Practice | 63 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2006-06-24 |
| 1720020712 | Diane Elizabeth Ashby | General Practice | 207 W Maple Ave, Fayetteville, WV 25840-1413 | 2006-06-12 |
| 1427008093 | Medical Associates of Northwest Arkansas Pa | General Practice | 1188 N Salem Rd Ste 6, Fayetteville, AR 72704-8803 | 2006-05-12 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on DR. REGINA R HUDEC.
| 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.