Organization Active NPI

Siloam Springs Womens Clinic Womens Center

  • Obstetrics & Gynecology Physician
  • Siloam Springs, AR
National Provider Identifier
1063819969
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SILOAM SPRINGS WOMENS CLINIC WOMENS CENTER
Practice address
603-2 N Progress Ave Ste 100
Siloam Springs, AR 72761-4113
Phone
(479) 524-9312
Fax
(479) 524-9627
NPI assigned
Nov 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chad Hill, MDNPI 1861503062
Title
Business Owner
Phone
(479) 524-9312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

603-2 N Progress Ave Ste 100
Siloam Springs, AR 72761-4113

Mailing address

603-2 N Progress Ave Ste 100
Siloam Springs, AR 72761-4113
Phone (479) 524-9312

Other identifiers 1

IdentifierTypeStateIssuer
1063819969OtherARNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161129000023 AR Part B Supplier - Clinic/Group Practice 1355620840 Receives reassigned benefits from 4 practitioners
Practice locations: Siloam Springs, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0981310Siloam Springs Womens Center603-2 North Progress Avenue Suite 100, Siloam Springs, AR 72761Provider-performed microscopyDec 21, 2026

National Provider Directory

National Provider Directory
Tax ID family
Siloam Springs Women's Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

603-2 N Progress Ave
Ste 100
Siloam Springs, AR 72761
Phone (479) 524-9312

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1063819969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603-2 N PROGRESS AVE STE 100",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614113",
            "telephone_number": "479-524-9312",
            "fax_number": "479-524-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603-2 N PROGRESS AVE STE 100",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614113",
            "telephone_number": "479-524-9312",
            "fax_number": "479-524-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILOAM SPRINGS WOMENS CLINIC WOMENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "479-524-9312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063819969",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.