WASHINGTON REGIONAL MEDICAL SYSTEM (NPI# 1770846826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770846826 |
| Entity Type | Organization |
| Organization Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Other Organization Name | WASHINGTON REGIONAL INTERNAL MEDICINE ASSOCIATES |
| Practice Address |
688 E Millsap Rd Fayetteville AR 72703-4095 |
| Practice Telephone | 4794633070 |
| Practice Fax Number | 4794633077 |
| Mailing Telephone | 4794633070 |
| Mailing Fax Number | 4794633077 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |
| Authorized Official Name | MR. WILLIAM L BRADLEY (CEO) |
| Authorized Official Telephone | 4794636003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | E4712 | AR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Washington Regional Internal Medicine Associates | 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 |
688 E MILLSAP RD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770683641 | Allison M Johnson | Internal Medicine | 688 E Millsap Rd, Suite 100, Fayetteville, AR 72703-4095 | 2006-09-22 |
| 1265885966 | Kristen Davidson | Nurse Practitioner | 688 E Millsap Rd, Suite 100, Fayetteville, AR 72703-4095 | 2016-07-18 |
| 1740655463 | Brittney Sharp | Dietitian, Registered | 688 E Millsap Rd, Suite 100, Fayetteville, AR 72703-4095 | 2015-12-07 |
| 1538554027 | Lauryn Brannon | Dietitian, Registered | 688 E Millsap Rd, Suite 100, Fayetteville, AR 72703-4095 | 2015-04-01 |
| 1386868545 | Jessica Short | Internal Medicine | 688 E Millsap Rd, Fayetteville, AR 72703-4095 | 2007-04-12 |
| 1568686723 | Roy Chapman Sampson | Internal Medicine | 688 E Millsap Rd, Fayetteville, AR 72703-4095 | 2007-04-12 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265066955 | Thomas W Atkinson Md Pa | Internal Medicine | 1670 East Joyce Blvd Suite 2, Fayetteville, AR 72703-0030 | 2020-03-03 |
| 1992171078 | Ferncreek Primary Care, PC | Internal Medicine | 1314 Medical Dr Ste 102, Fayetteville, NC 28304 | 2015-08-12 |
| 1356734917 | Deepinder Kaur | Internal Medicine | 109 Shadow Oak Ln, Fayetteville, NC 28303-5015 | 2015-03-06 |
| 1154736510 | George Augustine Blewitt Sr. | Internal Medicine | 6902 Saint Annes Dr, Fayetteville, PA 17222-9456 | 2014-06-24 |
| 1497166623 | Johnny Harris II | Internal Medicine | 105 Carnegie Pl Ste 103, Fayetteville, GA 30214 | 2014-05-09 |
| 1255754719 | Phanindar Reddy Sadhu | Internal Medicine | Cape Fear Valley Medical Associates, 1638 Owen Drive, Fayetteville, NC 28302-2000 | 2014-02-03 |
| 1184069015 | Trey Becton | Internal Medicine | 3215 N North Hills Blvd., Fayetteville, AR 72703-4424 | 2013-05-06 |
| 1497093900 | Daniel Leon Harris | Internal Medicine | 14 Wheeler Ave, Fayetteville, NY 13066-2531 | 2013-01-18 |
| 1053669002 | Statcare,llc | Internal Medicine | 9525 Cliffdale Rd, Fayetteville, NC 28304-5956 | 2012-08-23 |
| 1104113059 | Chompunut Asava Aree | Internal Medicine | 4224 Ferncreek Dr, Fayetteville, NC 28314-2515 | 2011-06-29 |
| 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.