WASHINGTON REGIONAL MEDICAL SYSTEM (NPI# 1851754345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851754345 |
| Entity Type | Organization |
| Organization Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Other Organization Name | NORTHWEST ARKANSAS NEUROSURGERY CLINIC - WASHINGTON REGIONAL |
| Practice Address |
3561 Johnson Mill Blvd Suite 101 Fayetteville AR 72704 |
| Practice Telephone | 4794044500 |
| Practice Fax Number | 4794044510 |
| Mailing Telephone | 4794044500 |
| Mailing Fax Number | 4794044510 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2018-06-27 |
| Authorized Official Name | DANIEL R ECKELS (CFO) |
| Authorized Official Telephone | 4794632825 |
| Is Organization Subpart | Y |
| Parent Organization Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northwest Arkansas Neurosurgery Clinic - Washington Regional | 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 |
3561 JOHNSON MILL BLVD SUITE 101 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275573255 | David Luke Knox | Neurological Surgery | 3561 Johnson Mill Blvd, Suite 101, Fayetteville, AR 72704-5026 | 2006-06-07 |
| 1295340727 | Gillis E Jones | Physical Therapist | 3561 Johnson Mill Blvd, Fayetteville, AR 72704-5026 | 2020-09-11 |
| 1205449691 | Washington Regional Medical System | Obstetrics & Gynecology | 3561 Johnson Mill Blvd, Suite 102, Fayetteville, AR 72704 | 2020-08-26 |
| 1699139345 | Washington Regional Medical System | General Practice | 3561 Johnson Mill Blvd, Suite 102, Fayetteville, AR 72703 | 2016-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1427607019 | Destiny Bound, LLC | Midwife | 3825 N Salem Road, Fayetteville, AR 72704 | 2019-09-06 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
| 1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
| Find all providers in zip 72704 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700015674 | Timothy B. Scarff | Neurological Surgery | 1055 Wedgewood Dr, Fayetteville, GA 30214-1337 | 2009-07-13 |
| 1427080894 | Brent P Peterson | Neurological Surgery | 3336 N. Futrall Drive, Fayetteville, AR 72703 | 2006-07-07 |
| 1386671790 | Larry A Armstrong | Neurological Surgery | 3336 N Futrall Drive, Fayetteville, AR 72703 | 2006-06-28 |
| 1275573255 | David Luke Knox | Neurological Surgery | 3561 Johnson Mill Blvd, Suite 101, Fayetteville, AR 72704-5026 | 2006-06-07 |
| 1609823780 | Kelly Richard Danks | Neurological Surgery | 1706 E Joyce Blvd, 2, Fayetteville, AR 72703-5238 | 2006-05-27 |
| 1245202274 | James Blair Blankenship | Neurological Surgery | 2793 E Millennium, Suite 1, Fayetteville, AR 72703-6522 | 2006-02-03 |
| 1154322519 | Gerard S Rodziewicz | Neurological Surgery | 4000 Medical Center Dr, Suite 108, Fayetteville, NY 13066-6631 | 2005-08-09 |
| 1720080070 | Cape Fear Neurosurgery | Neurological Surgery | 1319 Walter Reed Rd, Fayetteville, NC 28304-4437 | 2005-06-01 |
| 1811383896 | Nc Neurosurgery and Spine Clinic Pllc | Neurological Surgery | 2109 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3682 | 2015-04-07 |
| 1093088593 | Springfield Neurological Institute, L.L.C. | Neurological Surgery | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2012-02-14 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72704 |
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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.