WASHINGTON REGIONAL MEDICAL SYSTEM (NPI# 1679890966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679890966 |
| Entity Type | Organization |
| Organization Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Other Organization Name | WALKER HEART INSTITUTE CARDIOVASCULAR CLINIC |
| Practice Address |
3211 N Northhills Blvd Suite 110 Fayetteville AR 72703-4007 |
| Mailing Address |
12 E Appleby Rd Clinic Administration Fayetteville AR 72703-3901 |
| Practice Telephone | 4795714338 |
| Practice Fax Number | 4795714015 |
| Mailing Telephone | 4794631704 |
| Mailing Fax Number | 4794637864 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |
| Authorized Official Name | DANIEL R ECKELS (SENIOR VP/CFO) |
| Authorized Official Telephone | 4794636026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Walker Heart Institute Cardiovascular Clinic | Doing Business As Name - Organization |
| 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 |
| Street Address |
3211 N NORTHHILLS BLVD SUITE 110 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023072808 | David A Churchill | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-04-17 |
| 1649885252 | Kaitlynn Nichole Britton | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2020-09-10 |
| 1861025173 | Laura Droke | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2020-02-14 |
| 1093281917 | Justin Partin | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2018-10-18 |
| 1104361864 | Dawn Michelle Smedley | Clinical Nurse Specialist | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2017-01-04 |
| 1891043071 | Ellen Jean Teal | Nurse Practitioner | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2012-08-20 |
| 1447512579 | Courtney Mae Burns | Clinical Nurse Specialist | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703 | 2012-06-14 |
| 1174890065 | Taylor Dee Marshall | Nurse Practitioner | 3211 N Northhills Blvd, #110, Fayetteville, AR 72703-4007 | 2011-11-21 |
| 1578862785 | Nicole Van Comstock | Nurse Practitioner | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2011-03-28 |
| 1417254780 | Brandi Marie Barnes | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2011-02-22 |
| Find all providers in the same location | ||||
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174965826 | Valley Cardiology, Pa | Internal Medicine | 6562 Stone Mountain Farm Rd, Fayetteville, NC 28311-1183 | 2013-07-23 |
| 1659560647 | Oduwole Organization Inc | Internal Medicine | 1415 Highway 85 N Ste 310-296, Fayetteville, GA 30214-7738 | 2007-10-16 |
| 1982648663 | Northwest Arkansas Heart & Vascular Center | Internal Medicine | 3211 N. North Hills Blvd., Suite 110, Fayetteville, AR 72703 | 2006-06-15 |
| 1023072808 | David A Churchill | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-04-17 |
| 1912984568 | Arun Prahash | Internal Medicine | 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 | 2005-12-26 |
| 1386827574 | Cumberland Cardiology, P.a. | Internal Medicine | 909 S Mcpherson Church Rd, Fayetteville, NC 28303-5350 | 2007-12-11 |
| 1831386556 | Zubair Ahmed | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2007-09-26 |
| 1689769507 | Cardiac Disease Specialists, PC | Internal Medicine | 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-4548 | 2006-10-04 |
| 1538254487 | Cardiac Disease Specialists, PC | Internal Medicine | 101 Yorktown Dr, Ste 209, Fayetteville, GA 30214-1568 | 2006-10-04 |
| 1841216595 | Geetha Ramaswamy | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-07-14 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.