| Washington Regional Medical System | |
|
3336 N Futrall Dr Fayetteville AR 72703-4057 | |
| (479) 463-3000 | |
| (479) 469-3050 |
| Full Name | Washington Regional Medical System |
|---|---|
| Speciality | Neurological Surgery |
| Location | 3336 N Futrall Dr, Fayetteville, Arkansas |
| Authorized Official Name and Position | Daniel Eckels (SENIOR VICE PRESIDENT/CFO) |
| Authorized Official Contact | 4794631704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Regional Medical System 12 E Appleby Rd Clinic Administration Fayetteville AR 72703-3901 Ph: (479) 463-1704 | Washington Regional Medical System 3336 N Futrall Dr Fayetteville AR 72703-4057 Ph: (479) 463-3000 |
| NPI Number | 1104097500 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 12/17/2009 |
| Medicare PECOS PAC ID | 8820995434 |
|---|---|
| Medicare Enrollment ID | O20080630000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104097500 | NPI | - | NPPES |
| 176277002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Secondary |
| 207T00000X | Neurological Surgery | (* (Not Available)) | Primary |
| Provider Name | David Luke Knox |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275573255 PECOS PAC ID: 0042294597 Enrollment ID: I20040614001378 |
| Provider Name | Thomas K Rogerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497728000 PECOS PAC ID: 8022087238 Enrollment ID: I20040924000848 |
| Provider Name | Larry Gene Armstrong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386671790 PECOS PAC ID: 5698744670 Enrollment ID: I20040927000865 |
| Provider Name | Robert Duane Strang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013962935 PECOS PAC ID: 4880645043 Enrollment ID: I20050323001321 |
| Provider Name | Wade M Ceola |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669429049 PECOS PAC ID: 7810941036 Enrollment ID: I20050323001399 |
| Provider Name | John C Mace |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114971264 PECOS PAC ID: 3072564236 Enrollment ID: I20050407001345 |
| Provider Name | Mark E Moss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548218381 PECOS PAC ID: 4981634607 Enrollment ID: I20050812000607 |
| Provider Name | Michael W Morse |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235187386 PECOS PAC ID: 6709807381 Enrollment ID: I20051210000033 |
| Provider Name | Edwin J Cunningham |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578510954 PECOS PAC ID: 0143256412 Enrollment ID: I20051221001005 |
| Provider Name | Brent R Weilert |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1699828186 PECOS PAC ID: 8527167618 Enrollment ID: I20070702000257 |
| Provider Name | Chad J Morgan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013964493 PECOS PAC ID: 0143238600 Enrollment ID: I20071023000543 |
| Provider Name | Margaret Fairchild Tremwel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063409993 PECOS PAC ID: 2264327261 Enrollment ID: I20081104000692 |
| Provider Name | Roger C Horan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538101928 PECOS PAC ID: 1658361654 Enrollment ID: I20090623000197 |
| Provider Name | Mehmet S Akdol |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1184951220 PECOS PAC ID: 1456519529 Enrollment ID: I20120221000124 |
| Provider Name | Brandon C Evans |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841491925 PECOS PAC ID: 0446492292 Enrollment ID: I20130808000029 |
| Provider Name | Brandi D Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073902276 PECOS PAC ID: 2365760949 Enrollment ID: I20150410000454 |
| Provider Name | Felicia A May |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1235517152 PECOS PAC ID: 0143541276 Enrollment ID: I20150602000700 |
| Provider Name | Jay P Hinkle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033476726 PECOS PAC ID: 4385960889 Enrollment ID: I20170726003805 |
| Provider Name | Jason T Keech |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205342631 PECOS PAC ID: 0042579773 Enrollment ID: I20180125001516 |
| Provider Name | Daniel L Shepherd |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164717518 PECOS PAC ID: 6507014180 Enrollment ID: I20180718002968 |
| Provider Name | Brent Philip Peterson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427080894 PECOS PAC ID: 8224053194 Enrollment ID: I20181218001483 |
| Provider Name | Macie V Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194360842 PECOS PAC ID: 0749616142 Enrollment ID: I20200203002099 |
| Provider Name | Kenita R Poore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063048817 PECOS PAC ID: 2769803873 Enrollment ID: I20200528000270 |
| Provider Name | Gillis E Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295340727 PECOS PAC ID: 5991116725 Enrollment ID: I20201130000177 |
| Provider Name | Steven D Graham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295713584 PECOS PAC ID: 3375687403 Enrollment ID: I20201231001146 |
| Provider Name | Kyndal R Murach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477050110 PECOS PAC ID: 6002179181 Enrollment ID: I20210727002245 |
| Provider Name | Elise N Rippelmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407332406 PECOS PAC ID: 3072865625 Enrollment ID: I20210910001278 |
| Provider Name | Sen Sheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326570441 PECOS PAC ID: 9931476934 Enrollment ID: I20220805000060 |
| Provider Name | Korissa Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376137141 PECOS PAC ID: 3870900251 Enrollment ID: I20221107002338 |
| Provider Name | Ashley D Striegler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265126973 PECOS PAC ID: 0042673733 Enrollment ID: I20230829000807 |
| Provider Name | Katie L Halsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518647205 PECOS PAC ID: 7719341734 Enrollment ID: I20230910000032 |
| Provider Name | Megan L Dykema |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225713407 PECOS PAC ID: 5395109961 Enrollment ID: I20230914003178 |
| Provider Name | Jennifer L Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215383385 PECOS PAC ID: 8426493883 Enrollment ID: I20240226002519 |
| Provider Name | Krista L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891553491 PECOS PAC ID: 4789022914 Enrollment ID: I20240405002340 |
Healing Spirit Therapies, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 N East Ave, #201, Fayetteville, AR 72701 Phone: 479-200-8472 Fax: 479-442-2881 | |
Still Waters Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3313 W Mount Comfort Rd, Fayetteville, AR 72704 Phone: 479-263-7602 Fax: 479-443-2892 | |
Marie W. Wood Phd Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 215 N East Ave, Fayetteville, AR 72701 Phone: 479-521-9696 | |
Spectrum Living Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3677 W Weir Rd, Fayetteville, AR 72704 Phone: 479-871-2481 | |
New Equinox Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 N Block Ave, Fayetteville, AR 72701 Phone: 907-388-3465 | |
Rita Cruz-collins Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 N College Ave, Fayetteville, AR 72703 Phone: 479-305-2907 | |
Art Feeds Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 N Block Ave Ste 311, Fayetteville, AR 72701 Phone: 913-730-6319 |