PHYSICIANS' SPECIALTY HOSPITAL LLC (NPI# 1821249533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821249533 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS' SPECIALTY HOSPITAL LLC |
| Practice Address |
3873 N Parkview Dr Fayetteville AR 72703-6286 |
| Practice Telephone | 4795717070 |
| Practice Fax Number | 4795717090 |
| Mailing Telephone | 4795717070 |
| Mailing Fax Number | 4795717090 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2011-06-21 |
| Authorized Official Name | MR. D RUSS GREENE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4795717070 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 180190105 | 05 | |
| AR | RAILROAD MEDICARE | DP6121 | 01 |
| AR | OUTPATIENT MEDICARE | 5G268 | 01 |
| AR | BCBS | 10152 | 01 |
| Street Address |
3873 N PARKVIEW DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-6286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070073 | Brian D Litchford | Pharmacist | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 | 2005-08-15 |
| 1205340981 | Jonathan Michael Nelson | Registered Nurse | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 | 2017-11-17 |
| 1073036638 | Chelsea Thompson | Pharmacist | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 | 2017-07-25 |
| 1902267875 | Fayetteville Arkansas Hospital Company LLC | Anesthesiology | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 | 2016-03-18 |
| 1407215916 | Fayetteville Arkansas Hospital Company LLC | Special Hospital | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 | 2016-02-12 |
| 1619395811 | Kelley Hinely | Nurse Practitioner | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 | 2014-04-03 |
| 1144414335 | Nwa Surgeon Investors, LLC | Clinic/Center | 3873 N Parkview Dr, Suite 2, Fayetteville, AR 72703-6286 | 2007-08-30 |
| 1063604007 | Mabelvale Community Emergency Physicians | Emergency Medicine | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 | 2007-08-14 |
| 1063429496 | Charles Arthur Mccutchen Sr. | Nurse Anesthetist, Certified Registered | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 | 2006-08-01 |
| 1366474330 | William L Murry | Specialist | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 | 2006-07-07 |
| Find all providers in the same location | ||||
| 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 | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407199490 | Physicians' Specialty Hospital | Special Hospital | 3873 N. Parkview Drive, Fayetteville, AR 72703-6286 | 2013-03-28 |
| 1407215916 | Fayetteville Arkansas Hospital Company LLC | Special Hospital | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 | 2016-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790184232 | Kendruea Walker | Special Hospital | 23 Rosemunn Dr Apt B, Little Rock, AR 72205-1596 | 2014-08-21 |
| 1851620751 | Nw Physicians, LLC. | Special Hospital | 4301 Greathouse Springs Road, Johnson, AR 72741 | 2009-12-24 |
| 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.