CONWAY REGIONAL MEDICAL CENTER, INC (NPI# 1942713987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942713987 |
| Entity Type | Organization |
| Organization Name | CONWAY REGIONAL MEDICAL CENTER, INC |
| Other Organization Name | CONWAY REGIONAL ADVANCED PAIN MANAGEMENT CENTER |
| Practice Address |
525 Western Ave Ste 304 Conway AR 72034-4981 |
| Practice Telephone | 5013586560 |
| Practice Fax Number | 8776533202 |
| Mailing Telephone | 5013586560 |
| Mailing Fax Number | 8776533202 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | STEVEN ROSE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5014502112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Conway Regional Advanced Pain Management Center | 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 |
| 1003478462 | Conway Regional Medical Center, Inc | Internal Medicine | 525 Western Ave Ste 305, Conway, AR 72034-4982 | 2019-07-05 |
| 1245729359 | Conway Regional Medical Center, Inc | Family Medicine | 108 Skyline Dr, Russellville, AR 72801-3362 | 2018-05-03 |
| 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 304 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-4981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134356942 | Stacy Harris | Nurse Practitioner | 525 Western Ave Ste 304, Conway, AR 72034-4981 | 2009-06-18 |
| 1396230876 | Amy D Broyles | Nurse Practitioner | 525 Western Ave Ste 304, Conway, AR 72034-4981 | 2018-06-26 |
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083069587 | Advanced Spine and Pain Centers Inc | Clinic/Center | 410 Denison St, Conway, AR 72034-6128 | 2016-05-03 |
| 1265044119 | Prestige Spine | Clinic/Center | 650 United Dr Ste 340, Conway, AR 72032-7826 | 2020-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538681085 | Joseph E Miller Md Pa | Clinic/Center | 9001 Jenny Lind Rd Ste 3, Fort Smith, AR 72908-8629 | 2017-07-15 |
| 1720430309 | Baxter County Regional Hospital, Inc | Clinic/Center | 825 N Main St, Suite 6, Harrison, AR 72601-2914 | 2016-07-07 |
| 1437504941 | Advanced Spine and Pain Centers Inc | Clinic/Center | 3320 Springhill Dr, North Little Rock, AR 72117-2922 | 2016-05-03 |
| 1326493859 | Advanced Spine and Pain Centers Inc | Clinic/Center | 11908 Kanis Rd, G7, Little Rock, AR 72211-3733 | 2016-05-03 |
| 1538544853 | Healthstar Physicians of Hot Springs, Pllc | Clinic/Center | 1661 Airport Rd, Suite D, Hot Springs, AR 71913-7951 | 2015-07-28 |
| 1619219433 | Advanced Spine and Pain Centers, Inc. | Clinic/Center | 9800 Baptist Health Dr, Suite 660, Little Rock, AR 72205-6229 | 2013-03-19 |
| 1942473079 | Specialized Physical Medicine and Rehabilitian Clinics PC | Clinic/Center | 501 N Main St, Suit C, Harrison, AR 72601-3535 | 2008-04-09 |
| 1164625042 | United Pain Care | Clinic/Center | 7481 Warden Road, Sherwood, AR 72120-5041 | 2007-06-07 |
| 1245212935 | Pain South Pa | Clinic/Center | 1 Mercy Ln, Suite 304, Hot Springs, AR 71913-6442 | 2005-11-17 |
Please comment or provide details below to improve the information on CONWAY REGIONAL MEDICAL CENTER, INC.
| 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.