CONWAY REGIONAL MEDICAL CENTER, INC (NPI# 1003478462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003478462 |
| Entity Type | Organization |
| Organization Name | CONWAY REGIONAL MEDICAL CENTER, INC |
| Practice Address |
525 Western Ave Ste 305 Conway AR 72034-4982 |
| Practice Telephone | 5013586145 |
| Practice Fax Number | 5015046642 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | ALAN FINLEY (COO) |
| Authorized Official Telephone | 5014502114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Conway Regional Multispecialty Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513957 | Conway Regional Medical Center, Inc | Family Medicine | 1700 Altus St Ste 110, Conway, AR 72032-4299 | 2020-03-19 |
| 1376054155 | Conway Regional Medical Center, Inc | Internal Medicine | 2200 Ada Ave Ste 201, Conway, AR 72034-4984 | 2017-10-19 |
| 1043864093 | Conway Regional Medical Center, Inc | Dentist | 830 N Creek Dr, Conway, AR 72032-4711 | 2019-07-29 |
| 1245729359 | Conway Regional Medical Center, Inc | Family Medicine | 108 Skyline Dr, Russellville, AR 72801-3362 | 2018-05-03 |
| 1942713987 | Conway Regional Medical Center, Inc | Clinic/Center | 525 Western Ave Ste 304, Conway, AR 72034-4981 | 2017-11-13 |
| 1851796676 | Conway Regional Medical Center, Inc | Family Medicine | 437 Denison St, Suite 2, Conway, AR 72034-6127 | 2014-10-23 |
| 1588975825 | Conway Regional Medical Center, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 525 Western Ave, Suite 302, Conway, AR 72034-4967 | 2010-07-01 |
| 1730402249 | Conway Regional Medical Center, Inc | Clinic/Center | 495 Hogan Ln Ste 2, Conway, AR 72034-8498 | 2010-03-11 |
| Street Address |
525 WESTERN AVE STE 305 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-4982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801235304 | Alok Surana | Internal Medicine | 525 Western Ave Ste 305, Conway, AR 72034-4982 | 2013-06-18 |
| 1538796164 | Lindsay Marie Massey | Nurse Practitioner | 525 Western Ave Ste 305, Conway, AR 72034-4982 | 2020-03-24 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1801235304 | Alok Surana | Internal Medicine | 525 Western Ave Ste 305, Conway, AR 72034-4982 | 2013-06-18 |
| 1104159110 | Conway Hospital Inc | Internal Medicine | 2376 Cypress Cir, Ste 100, Conway, SC 29526-8964 | 2009-09-09 |
| 1285646083 | Conway Hospital Services | Internal Medicine | 128 Professi Pk Dr, Conway, SC 29526-8964 | 2006-08-12 |
| 1235108697 | Tyrone Lee | Internal Medicine | 3700 College Ave, Conway, AR 72034-7259 | 2006-03-16 |
| 1427039726 | Herbie Seymour Bryan | Internal Medicine | 2376 Cypress Cir Ste 100, Conway, SC 29526-8964 | 2005-11-14 |
| 1033244793 | Conway Hospital Community Services | Internal Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2007-02-22 |
| 1215954086 | Conway Pulmonology Clinic, Pa | Internal Medicine | 3700 College Ave, Conway, AR 72034-7259 | 2006-07-16 |
| 1598793754 | Jack A Griebel Jr. | Internal Medicine | 1555 Exchange Ave, Conway, AR 72032-7824 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031714 | Nizar Suleman Md LLC | Internal Medicine | 115 Summertime Bay, Hot Springs, AR 71913-1839 | 2020-04-13 |
| 1609317429 | Arkansas Health Group | Internal Medicine | 9601 Baptist Health Dr Ste 900, Little Rock, AR 72205-6331 | 2017-03-13 |
| 1801207857 | Nathan Thomas Hill | Internal Medicine | 5800 W 10th St Ste 610, Little Rock, AR 72204-1761 | 2014-05-13 |
| 1831445261 | Krishna Siva Sai Kakkera | Internal Medicine | 16 Hospital Cir Ste A, Batesville, AR 72501-7343 | 2012-08-03 |
| 1538460951 | Muhammad Qasim Salar Mir | Internal Medicine | 2713 S 74th St Ste 301, Fort Smith, AR 72903-5155 | 2010-11-17 |
| 1134385735 | Janice J Gunnels | Internal Medicine | 238 Marsh Harbor Dr, Hot Springs, AR 71913-7766 | 2008-08-03 |
| 1215196233 | Shahla Gul Naoman | Internal Medicine | 16 Hospital Cir, Batesville, AR 72501-7343 | 2008-06-05 |
| 1396954228 | Jefferson Pulm Cc Pa | Internal Medicine | 606 Roberts Drive, Monticello, AR 71655 | 2007-05-21 |
| 1104981737 | William Lee Mason | Internal Medicine | Pob 1437 Slot H-61, Arkansas Dept of Health, Little Rock, AR 72203-1437 | 2006-12-26 |
| 1467537324 | Baxter County Regional Hospital | Internal Medicine | 628 Hospital Dr Ste 3a, Mountain Home, AR 72653-2952 | 2006-10-26 |
| 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.