CRITTENDEN HOSPITAL ASSOCIATION (NPI# 1659611911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659611911 |
| Entity Type | Organization |
| Organization Name | CRITTENDEN HOSPITAL ASSOCIATION |
| Other Organization Name | CRITTENDEN REGIONAL WOMEN'S CLINIC |
| Practice Address |
228 Tyler Suite 304 West Memphis AR 72301-4257 |
| Practice Telephone | 8707335437 |
| Practice Fax Number | 8707335440 |
| Mailing Telephone | 8707335437 |
| Mailing Fax Number | 8707335440 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-11-21 |
| Authorized Official Name | MR. WILLIAM BRADFORD MCCORMICK (CFO) |
| Authorized Official Telephone | 8707351500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | E7815 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 154327002 | 05 |
| Other Name | Type Code |
|---|---|
| Crittenden Regional Women's Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659613362 | Crittenden Hospital Association | Family Medicine | 303 Bancario Rd., Suite 1, Marion, AR 72364-2220 | 2013-03-20 |
| 1619274792 | Crittenden Hospital Association | Pediatrics | 710 N Missouri St, West Memphis, AR 72301-3150 | 2011-02-25 |
| 1194958249 | Crittenden Hospital Association | Internal Medicine | 310 Judge Smith Dr, Marion, AR 72364-2220 | 2009-08-24 |
| 1609084268 | Crittenden Hospital Association | Home Health | 48 Frisco St, Marked Tree, AR 72365-2214 | 2007-05-18 |
| 1902843857 | Crittenden Hospital Association | Home Health | 109 N Walnut St, Osceola, AR 72370-2517 | 2006-06-01 |
| 1982661500 | Crittenden Hospital Association | Pediatrics | 2921 Hwy 77, Suite 20, Marion, AR 72364-2367 | 2006-04-27 |
| 1316155971 | Crittenden Hospital Association | Home Health | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-05-18 |
| 1821113879 | Crittenden Hospital Association | Anesthesiology | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-03-20 |
| 1699836775 | Crittenden Hospital Association | General Acute Care Hospital | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2006-12-13 |
| 1235169822 | Crittenden Hospital Association | General Acute Care Hospital | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2006-07-03 |
| Street Address |
228 TYLER SUITE 304 |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-4257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356317507 | James Prentice Derossitt | Obstetrics & Gynecology | 210 S Rhodes, West Memphis, AR 72301-1687 | 2006-02-27 |
| 1982670113 | The Womens Clinic of Forrest City | Obstetrics & Gynecology | 210 S Rhodes St, West Memphis, AR 72301-1687 | 2006-02-27 |
| 1790751923 | Robert Chin | Obstetrics & Gynecology | 312 S Rhodes St, West Memphis, AR 72301-4215 | 2006-02-27 |
| 1700025616 | Robert Chin Md Phd LLC | Obstetrics & Gynecology | 312 S Rhodes St, West Memphis, AR 72301-4215 | 2009-02-17 |
| 1417914383 | Crittenden Hospital Association | Obstetrics & Gynecology | 312 S Rhodes St, West Memphis, AR 72301-4215 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233173 | Bryan D Fuller Md Pa | Obstetrics & Gynecology | 625 United Dr Ste 330, Conway, AR 72032-7828 | 2020-07-27 |
| 1184127052 | Arkansas Health Group | Obstetrics & Gynecology | 3201 Springhill Dr Ste 130, North Little Rock, AR 72117-2910 | 2018-03-16 |
| 1093242018 | Baxter County Regional Hospital Inc | Obstetrics & Gynecology | 628 Hospital Dr Ste 3b, Mountain Home, AR 72653-2953 | 2017-05-22 |
| 1053778266 | Women's Health Associates of Nwa, Pllc | Obstetrics & Gynecology | 500 Se Plaza Ave, Bentonville, AR 72712 | 2016-01-19 |
| 1699161398 | Brock Alden Warford | Obstetrics & Gynecology | 118 Womens Center Ln, Hot Springs, AR 71913-6352 | 2015-04-09 |
| 1013303700 | Kevin Anthony Barber | Obstetrics & Gynecology | 3401 Springhill Dr Ste 390, North Little Rock, AR 72117-2937 | 2015-04-09 |
| 1447645940 | James Robb | Obstetrics & Gynecology | 3412 Market Place Ave, Bryant, AR 72022-8054 | 2015-04-01 |
| 1740673565 | Anne Bowes | Obstetrics & Gynecology | 1500 Dodson Ave Ste 230, Fort Smith, AR 72901-5179 | 2015-03-18 |
| 1447641790 | North Arkansas Regional Medical Center | Obstetrics & Gynecology | 520 N Pine St Ste B, Harrison, AR 72601-3442 | 2015-02-09 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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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.