CONWAY REGIONAL MEDICAL CENTER, INC. (NPI# 1538615927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538615927 |
| Entity Type | Organization |
| Organization Name | CONWAY REGIONAL MEDICAL CENTER, INC. |
| Other Organization Name | CONWAY REGIONAL CARDIOVASCULAR CLINIC |
| Practice Address |
525 Western Ave Suite 202 Conway AR 72034-4967 |
| Practice Telephone | 5015135337 |
| Practice Fax Number | 5015135338 |
| Mailing Telephone | 5015135337 |
| Mailing Fax Number | 5015135338 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | MR. STEVEN ROSE (CFO) |
| Authorized Official Telephone | 5014502112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
2657 | AR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Conway Regional Cardiovascular Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376025544 | Conway Regional Medical Center, Inc. | Internal Medicine | 2200 Ada Ave Ste 203, Conway, AR 72034-4984 | 2018-09-04 |
| 1851389605 | Conway Regional Medical Center, Inc. | Clinic/Center | 606 Highway 365, Mayflower, AR 72106-9595 | 2005-10-06 |
| 1730601451 | Conway Regional Medical Center, Inc. | Orthopaedic Surgery | 525 Western Ave Ste 302, Conway, AR 72034-4981 | 2017-07-14 |
| 1255879656 | Conway Regional Medical Center, Inc. | Psychiatry & Neurology | 2200 Ada Ave, Suite 305, Conway, AR 72034-4985 | 2017-02-06 |
| 1275990871 | Conway Regional Medical Center, Inc. | Family Medicine | 1 Medical Ln, Conway, AR 72034-4912 | 2016-01-27 |
| 1396913976 | Conway Regional Medical Center, Inc. | Hospitalist | 1700 Altus St, Conway, AR 72032-4289 | 2008-02-15 |
| Street Address |
525 WESTERN AVE SUITE 202 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-4967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888732 | Homer Luther Fleisher | Surgery | 525 Western Ave, Suite 203, Conway, AR 72034-4967 | 2005-08-10 |
| 1245727486 | Bethany Roberts | Nurse Anesthetist, Certified Registered | 525 Western Ave, Conway, AR 72034 | 2018-04-13 |
| 1639624372 | Conway Regional Medical Center,inc | Internal Medicine | 525 Western Ave, Suite 202, Conway, AR 72034-4967 | 2016-08-23 |
| 1578951372 | Tammy Williams | Nurse Practitioner | 525 Western Ave, Suite 304, Conway, AR 72034-4967 | 2014-12-31 |
| 1386064657 | Manuel Anthony Warrior Jr. | Registered Nurse | 525 Western Ave, Suite 201, Conway, AR 72034-4967 | 2014-04-24 |
| 1811333206 | Anthony Tyler Manning | Surgery | 525 Western Ave, Ste 203, Conway, AR 72034-4980 | 2013-05-13 |
| 1306157656 | Conway Regional Medical Center,inc | Clinic/Center | 525 Western Ave, Suite 301, Conway, AR 72034-4967 | 2010-07-01 |
| 1588975825 | Conway Regional Medical Center, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 525 Western Ave, Suite 302, Conway, AR 72034-4967 | 2010-07-01 |
| 1528386547 | Ella Cathrine Whaley | Internal Medicine | 525 Western Ave, Suite 302, Conway, AR 72034-4967 | 2010-05-14 |
| 1841529708 | T. Michael Stanton, M.d. Pa | Surgery | 525 Western Ave, Suite 203, Conway, AR 72034-4967 | 2009-12-23 |
| Find all providers in the same location | ||||
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1891245221 | Arkansas Health Group | Clinic/Center | 650 United Dr, Suite 240, Conway, AR 72032-7826 | 2016-10-10 |
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| 1831464759 | Root's Chiropractic | Clinic/Center | 1403 Central Ave, Hot Springs, AR 71901-6149 | 2012-03-09 |
| 1619133394 | River Valley Urgent Care Pa | Clinic/Center | 3500 We Knight Drive, Fort Smith, AR 72903-6248 | 2008-08-01 |
| 1861612228 | North Arkansas Rheumatology, Plc | Clinic/Center | 123 Claude Parrish Ave, Harrison, AR 72601 | 2007-04-26 |
| 1073640769 | Bryant Family Medical Clinic, P.a. | Clinic/Center | 408 Office Park Dr Ste 3, Bryant, AR 72022-7536 | 2007-02-28 |
| 1114013349 | Paragould Urology | Clinic/Center | 1000 W Kingshighway Ste 8, Paragould, AR 72450-4197 | 2006-10-05 |
| 1588775464 | Wren & Barrow Ob Gyn Pllc Pa | Clinic/Center | 628 Hospital Dr Ste 2a, Mountain Home, AR 72653-2937 | 2006-08-31 |
| 1366450421 | Rehab and Pain Managment Clinic Inc. | Clinic/Center | 1201, Fleming Ave., Health South Rehablitation Hospital of Jonesboro, Jonesboro, AR 72403 | 2006-08-04 |
| 1952318099 | Prime Medical Imaging, A Division of Radiologists, P.a. | Clinic/Center | 320 S 9th St, Van Buren, AR 72956-5826 | 2006-08-02 |
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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.