CONWAY REGIONAL MEDICAL CENTER, INC.


Address: 525 Western Ave Ste 302, Conway, AR 72034-4981
Phone: (501) 504-6649

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
AR Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Conway Regional Center for Orthopedics and Sports Medicine Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
437 Denison St, Conway, AR 720346127 (501) 327-1325 5013271328

Other Provider IDs and Locations

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

Office Location

Street Address 525 WESTERN AVE STE 302
City CONWAY
State AR
Zip Code 72034-4981

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508858036 Thomas S Roberts Orthopaedic Surgery 525 Western Ave Ste 302, Conway, AR 72034 2005-08-19

Providers in the same zip code

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 Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326119702 James W. Yates Jr. Orthopaedic Surgery 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 2006-11-10

Providers in the same taxonomy and state

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

Competitor

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City CONWAY
Zip Code 72034

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Dataset Information

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.

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