CONWAY WOMENS HEALTH CENTER PA (NPI# 1770510042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770510042 |
| Entity Type | Organization |
| Organization Name | CONWAY WOMENS HEALTH CENTER PA |
| Practice Address |
2200 Ada Ave Ste 301 Conway AR 72034-4986 |
| Practice Telephone | 5014503920 |
| Practice Fax Number | 5014507718 |
| Mailing Telephone | 5014503920 |
| Mailing Fax Number | 5014507718 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-07-30 |
| Authorized Official Name | DR. DEBRA C LAWRENCE (PRESIDENT) |
| Authorized Official Telephone | 5014503920 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MC1581 | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 128037002 | 05 |
| Street Address |
2200 ADA AVE STE 301 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-4986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154524031 | Brandie Mcnabb Martin | Obstetrics & Gynecology | 2200 Ada Ave Ste 301, Conway, AR 72034-4986 | 2007-06-07 |
| 1922201839 | Theresa J Moix | Nurse Practitioner | 2200 Ada Ave Ste 301, Conway, AR 72034-4986 | 2007-06-07 |
| 1093918997 | Heather A White | Nurse Practitioner | 2200 Ada Ave Ste 301, Conway, AR 72034-4986 | 2007-06-07 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265642839 | Jean Franklin | Specialist | 315 Boyden Rd, Conway, MA 01341-9717 | 2007-05-23 |
| 1962618769 | Conway Hematology Oncology | Specialist | 350 Salem Rd Ste 4, Conway, AR 72034-6166 | 2007-05-16 |
| 1295958346 | Jeffrey P Kirsch Md Pa | Specialist | 2425 Dave Ward Dr Ste 101, Conway, AR 72034-8679 | 2007-04-10 |
| 1588789051 | Bryan R Harris | Specialist | 150 Siebenmorgan Rd, Conway, AR 72032-4000 | 2007-03-20 |
| 1962481531 | Palmetto Pediatrics of Conway | Specialist | 171 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2006-01-12 |
| 1174511638 | Alexander L Lyons | Specialist | 123 Waccamaw Medical Park Dr, Conway, SC 29526-8902 | 2005-10-10 |
| 1801884622 | Jeffrey P Kirsch | Specialist | 2425 Dave Ward Dr, Ste 101, Conway, AR 72034-8686 | 2005-10-06 |
| 1922003102 | Michael D Wood | Specialist | 2300 Robinson Ave, Conway, AR 72034-4945 | 2005-06-15 |
| 1417320375 | Elite Orthopaedics of South Carolina, LLC | Specialist | 235 Singleton Ridge Rd, Conway, SC 29526-9136 | 2015-11-01 |
| 1942671177 | Pinnacle Pain Management Company | Specialist | 523 Harkrider St, Conway, AR 72032-5631 | 2015-10-14 |
| Find all providers in CONWAY | ||||
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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.