CONWAY REGIONAL MEDICAL CENTER, INC. (NPI# 1730601451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730601451 |
Entity Type | Organization |
Organization Name | CONWAY REGIONAL MEDICAL CENTER, INC. |
Other Organization Name | CONWAY REGIONAL CENTER FOR ORTHOPEDICS AND SPORTS MEDICINE |
Practice Address |
525 Western Ave Ste 302 Conway AR 72034-4981 |
Mailing Address |
525 Western Avenue Suite 302 Conway AR 72034-6127 |
Practice Telephone | (501) 504-6649 |
Practice Fax Number | 5013285518 |
Mailing Telephone | (501) 504-6649 |
Mailing Fax Number | 5013285518 |
Enumeration Date | 2017-07-14 |
Last Update Date | 2019-12-30 |
Authorized Official Name | MR. STEVEN ROSE (CFO) |
Authorized Official Telephone | 5014502112 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
AR | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Conway Regional Center for Orthopedics and Sports Medicine | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
437 Denison St, Conway, AR 720346127 | (501) 327-1325 | 5013271328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376025544 | Conway Regional Medical Center, Inc. | Internal Medicine | 2200 Ada Ave Ste 203, Conway, AR 72034-4984 | 2018-09-04 |
1851389605 | Conway Regional Medical Center, Inc. | Clinic/Center | 606 Highway 365, Mayflower, AR 72106-9595 | 2005-10-06 |
1255879656 | Conway Regional Medical Center, Inc. | Psychiatry & Neurology | 2200 Ada Ave, Suite 305, Conway, AR 72034-4985 | 2017-02-06 |
1538615927 | Conway Regional Medical Center, Inc. | Clinic/Center | 525 Western Ave, Suite 202, Conway, AR 72034-4967 | 2016-08-26 |
1275990871 | Conway Regional Medical Center, Inc. | Family Medicine | 1 Medical Ln, Conway, AR 72034-4912 | 2016-01-27 |
1396913976 | Conway Regional Medical Center, Inc. | Hospitalist | 1700 Altus St, Conway, AR 72032-4289 | 2008-02-15 |
Street Address |
525 WESTERN AVE STE 302 |
City | CONWAY |
State | AR |
Zip Code | 72034-4981 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508858036 | Thomas S Roberts | Orthopaedic Surgery | 525 Western Ave Ste 302, Conway, AR 72034 | 2005-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
Find all providers in zip 72034 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326119702 | James W. Yates Jr. | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124504030 | Interventional Cellular Medicine Centers, LLC | Orthopaedic Surgery | 593 Horsebarn Road, Suite 202, Rogers, AR 72758-7275 | 2018-07-13 |
1467612085 | Kent Allen Schnetzler | Orthopaedic Surgery | 400 Crestwood Circle, Suite L, Mena, AR 71953 | 2008-06-17 |
1124012000 | Christopher P Dougherty | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2005-09-07 |
1144617465 | Michael Mcconnaughhay | Orthopaedic Surgery | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2015-04-24 |
1639571201 | Henderson State University | Orthopaedic Surgery | 1100 Henderson St, Hsu Box 7630, Arkadelphia, AR 71999-0001 | 2014-09-25 |
1154601805 | Dominic Amadeo Jacobelli | Orthopaedic Surgery | 1000 S 52nd St, Rogers, AR 72758 | 2011-08-26 |
1922387505 | White River Health System Inc | Orthopaedic Surgery | 2110 East Main, Mountain View, AR 72560 | 2011-08-12 |
1659508810 | Kenneth M Rosenzweig, Md, Pa | Orthopaedic Surgery | 8907 Kanis Rd, Suite 330, Little Rock, AR 72205-6449 | 2009-06-16 |
1154556678 | Michael Todd Bogatch | Orthopaedic Surgery | 4000 Linwood Drive, Suite I, Paragould, AR 72450 | 2009-05-28 |
1740427830 | Martin Knee and Sports Medicine Center, Pa | Orthopaedic Surgery | 5320 W. Markham, Little Rock, AR 72205 | 2009-01-12 |
Find all providers with the same taxonomy |
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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.