QHG OF SPRINGDALE INC (NPI# 1730292434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730292434 |
| Entity Type | Organization |
| Organization Name | QHG OF SPRINGDALE INC |
| Other Organization Name | NORTHWEST MEDICAL CENTER OF WASHINGTON COUNTY |
| Practice Address |
609 W Maple Ave Springdale AR 72764-5335 |
| Mailing Address |
Po Box 2005 Springdale AR 72765-2005 |
| Practice Telephone | 4797506206 |
| Mailing Telephone | 4797506206 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REBECCA HURLEY (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2144733993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| X | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northwest Medical Center of Washington County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194732149 | Qhg of Springdale Inc | Registered Nurse | 409 W Maple Ave, Springdale, AR 72764-5333 | 2006-08-02 |
| 1750334066 | Qhg of Springdale Inc | Clinic/Center | 3400 Se John Rollow Dr., Bentonville, AR 72712 | 2006-05-18 |
| 1417900713 | Qhg of Springdale Inc | Psychiatric Unit | 3000 Medical Center Pkwy, Bentonville, AR 72712 | 2006-05-18 |
| 1518918515 | Qhg of Springdale Inc | Clinic/Center | 1801 Forest Hills Blvd, Suite 6201, Bella Vista, AR 72715-3016 | 2006-05-14 |
| Street Address |
609 W MAPLE AVE |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676272 | Regency Hospital of Northwest Arkansas, LLC | Long Term Care Hospital | 609 W Maple Ave, 6th Floor, Springdale, AR 72764-5335 | 2005-08-12 |
| 1356957799 | Victoria Ashley Sollestre | Physician Assistant | 609 W Maple Ave, Springdale, AR 72764-5335 | 2020-09-21 |
| 1588279475 | Ashley Early | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5394 | 2020-09-09 |
| 1710504931 | Sandra Lee Moore | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2020-07-03 |
| 1386291656 | Dominique Ann Ertolacci | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-08-21 |
| 1861055204 | Dustin J Franklin | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-22 |
| 1407419278 | Samuel Tanner Burks | Registered Nurse | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-17 |
| 1285199133 | Shelby Lane Harrison | Registered Nurse | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-02-05 |
| 1750865929 | Teqienna Dianne Randall | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2018-09-24 |
| 1588144182 | David R Massey Md Pllc | Psychiatry & Neurology | 609 W Maple Ave, Springdale, AR 72764-5335 | 2018-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| 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 |
|---|---|---|---|---|
| 1497756415 | Michael P Clouatre | Obstetrics & Gynecology | 5330 Willow Creek Dr, Springdale, AR 72762-8702 | 2005-08-02 |
| 1689986606 | Us Gynecologic Oncology Associates, Pllc | Obstetrics & Gynecology | 5501 Willow Creek Dr, Suite 202, Springdale, AR 72762-8704 | 2010-07-07 |
| 1093945834 | Serena Michelle Pierson | Obstetrics & Gynecology | 4301 Greathouse Springs Rd, Suite 100, Springdale, AR 72762-0000 | 2009-07-14 |
| 1871735100 | Ashley Erin Mason | Obstetrics & Gynecology | 5330 Willow Creek Dr, Springdale, AR 72762-8702 | 2009-04-01 |
| 1629225362 | Rachel E Farrell | Obstetrics & Gynecology | 4301 Greathouse Springs Rd, Ste 100, Springdale, AR 72762 | 2008-08-25 |
| 1811160690 | Alexis Nicole Mccollum | Obstetrics & Gynecology | 4301 Greathouse Springs Rd, Ste 100, Springdale, AR 72762 | 2008-04-11 |
| 1578580536 | Bernard Joseph Canzoneri | Obstetrics & Gynecology | 5501 Willow Creek Dr, Suite 202, Springdale, AR 72762-8704 | 2006-07-16 |
| 1053344234 | Northwest Arkansas Ob/gyn Assoc.,plc | Obstetrics & Gynecology | 5330 Willow Creek Dr, Springdale, AR 72762-8702 | 2006-07-09 |
| 1427016310 | Heather Ann Martinelli | Obstetrics & Gynecology | 4301 Greathouse Springs Rd, Ste 100, Springdale, AR 72762 | 2006-05-02 |
| 1548262306 | Darrin D Cunningham | Obstetrics & Gynecology | 5330 Willow Creek Dr, Springdale, AR 72762-8702 | 2005-08-11 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
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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.