CONWAY REGIONAL MEDICAL CENTER INC (NPI# 1063798858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063798858 |
| Entity Type | Organization |
| Organization Name | CONWAY REGIONAL MEDICAL CENTER INC |
| Other Organization Name | CONWAY REGIONAL MEDICAL CLINIC-VILONIA |
| Practice Address |
1122 Main St Suite 7 Vilonia AR 72173-9524 |
| Mailing Address |
1159 Main St Vilonia AR 72173-9525 |
| Practice Telephone | 5017962791 |
| Practice Fax Number | 5017960148 |
| Mailing Telephone | 5017968484 |
| Mailing Fax Number | 5017962453 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | STEPHANIE COTHRAN (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 5017452122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | E5175 | AR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Conway Regional Medical Clinic-Vilonia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942375639 | Conway Regional Medical Center Inc | Clinic/Center | 110 N Broadview St, Greenbrier, AR 72058-9475 | 2006-11-21 |
| 1548362437 | Conway Regional Medical Center Inc | Clinic/Center | 110 N Broadview, Greenbrier, AR 72058-9475 | 2006-09-02 |
| 1154340552 | Conway Regional Medical Center Inc | Home Health | 2134 Robinson Ave, Conway, AR 72034-4941 | 2006-07-18 |
| 1255958708 | Conway Regional Medical Center Inc | Obstetrics & Gynecology | 2300 Robinson Ave, Conway, AR 72034-4945 | 2020-07-01 |
| 1932663879 | Conway Regional Medical Center Inc | Surgery | 525 Western Ave Ste 203, Conway, AR 72034-4980 | 2019-01-24 |
| 1609123017 | Conway Regional Medical Center Inc | Clinical Medical Laboratory | 2302 College Ave, Conway, AR 72034 | 2012-08-06 |
| 1417024662 | Conway Regional Medical Center Inc | General Acute Care Hospital | 2302 College Ave, Conway, AR 72034-6297 | 2006-11-30 |
| 1841200417 | Conway Regional Medical Center Inc | Family Medicine | 437 Denison St, Conway, AR 72034-6127 | 2006-08-08 |
| 1376562678 | Conway Regional Medical Center Inc | Psychiatric Unit | 2302 College Ave, Conway, AR 72034-6297 | 2006-07-18 |
| 1497770424 | Conway Regional Medical Center Inc | General Acute Care Hospital | 2302 College Ave, Conway, AR 72034-6297 | 2006-07-12 |
| Street Address |
1122 MAIN ST SUITE 7 |
| City | VILONIA |
| State | AR |
| Zip Code | 72173-9524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972519783 | David Justin Manning | Optometrist | 1122 Main St, Suite 12, Vilonia, AR 72173-9524 | 2006-08-01 |
| 1710220959 | Mandi Lyn Mears | Nurse Practitioner | 1122 Main St, Vilonia, AR 72173-9524 | 2013-04-05 |
| 1740467117 | David J. Manning, Od, Pa | Optometrist | 1122 Main St, Suite 12, Vilonia, AR 72173-9524 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671908 | Michael S Palese | Physical Therapist | 1070 Main Street, Vilonia, AR 72173 | 2018-09-05 |
| 1902191968 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 10 Eagle Street, Vilonia, AR 72173 | 2011-06-17 |
| 1265693923 | Emily Mccarron | Occupational Therapist | 1164 Main Street, Vilonia, AR 72173 | 2008-06-24 |
| 1407060510 | Melissa Lynn Brewer | Speech-Language Pathologist | 10 Ridgewood Lp., Vilonia, AR 72173 | 2007-05-09 |
| 1710072277 | Brian Lane | Dentist | 17 Eagle Park, Vilonia, AR 72173 | 2006-10-03 |
| 1215030374 | Tracy Taylor | Counselor | 11eagle Dr., Vilonia, AR 72173 | 2006-09-06 |
| 1326096579 | Vilonia Chiropractic | Chiropractor | 1122 Main, Ste 4, Vilonia, AR 72173 | 2006-05-04 |
| 1750349858 | Charles Wesley Himmler | Family Medicine | 1159 Main Street, Vilonia, AR 72173 | 2006-05-01 |
| 1447760392 | Vts Inc | Occupational Therapist | 1070 Main St, Vilonia, AR 72173 | 2017-10-05 |
| 1093192338 | Crystal L. Hart | Counselor | 1112 Main St, Vilonia, AR 72173 | 2015-05-06 |
| Find all providers in zip 72173 | ||||
| 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 |
|---|---|---|---|---|
| 1306060561 | Gina Lenore Mcnew | Internal Medicine | 1122 Main Street, Suite 7, Vilonia, AR 72173-8902 | 2007-04-12 |
| 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 |
| 1750927109 | Inpatient Solutions | Internal Medicine | 107 Turtle Creek Rd, Benton, AR 72015-6466 | 2019-11-20 |
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1699252361 | Dan Webb Md Long Term Care | Internal Medicine | 1310 S Avalon St, West Memphis, AR 72301-6271 | 2018-07-25 |
| 1164919684 | Matthew Carpenter | Internal Medicine | Imrp Clinic 300 Carson Street, Jonesboro, AR 72401 | 2018-04-19 |
| 1740797422 | Healthville Pllc | Internal Medicine | 11219 Financial Centre Pkwy Ste 316, Little Rock, AR 72211-3895 | 2018-01-04 |
| 1629595566 | Impact Health Services, Pllc | Internal Medicine | 5027 N County Road 1015, Blytheville, AR 72315-6951 | 2017-08-22 |
| 1891229548 | Arkansas Health Group | Internal Medicine | 3201 Springhill Dr Ste 100a, North Little Rock, AR 72117-2910 | 2017-04-19 |
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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.