North Arkansas Regional Medical Center
Organization Active NPI Anesthesiology Physician · Harrison, AR
NPI 1245355296 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1245355296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- NORTH ARKANSAS REGIONAL MEDICAL CENTER
- Practice address
- 620 N Main St #2
Harrison, AR 72601-2911 - Phone
- (870) 414-4000
- Fax
- (870) 414-4789
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Andrea Smith
- Title
- Cfo/VP Finance
- Phone
- (870) 414-4285
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 26
Practitioners 67
-
Kerry Lee Blair, CRNA
-
Matthew Bolding, CRNA
-
Luana D Booth, CRNA
-
Maranda Boyer, CRNA
-
Shawn Alexander Henry, CRNA
-
Terry Mitchel Hughes Jr., CRNA
-
James R Humble Jr., CRNA
-
Shane Jamison, DNP
-
Morris Ray Johnson, CRNA
-
Michelle Leppert, CRNA, MSA, RN
-
Zachary T Mesko, CRNA
-
John Miles, CRNA
-
Dylan Eden Rainwater, CRNA
-
Winston S Renfrow III, CRNA
-
Joshua O Stewart, CRNA
-
William Michael Warren, CRNA
-
Dennis W Armstrong, CRNA
-
Daureen K Bloodworth, CRNA
-
Jennifer Breito, CRNA
-
Courtney B Devlin, CRNA
-
Stephanie M Gotcher, CRNA
-
Michael Stephen Griffith, CRNA
-
James Johnson, CRNA
-
Becky L Madsen, CRNA
-
Daniel Don Padgett, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060623000242 | AR | Part B Supplier - Clinic/Group Practice | 5193615896 |
Receives reassigned benefits from 32 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Harrison, AR |
National Provider Directory
- Tax ID family
- David a Stills
Locations
715 W Sherman Ave
Ste J
Harrison, AR 72601
Phone (870) 365-0223
620 N Main St
#2
Harrison, AR 72601
Phone (870) 414-4000
520 N Pine St
#B
Harrison, AR 72601
620 N Main St
#2B
Harrison, AR 72601
1401 Highway 62 65 N
Ste 230
Harrison, AR 72601
Phone (870) 414-5400
1401 Highway 62 65 N
Ste 220
Harrison, AR 72601
Phone (870) 741-6418
731 N Main St
Harrison, AR 72601
620 N Main St
Fl 2
Harrison, AR 72601
4095 American Way
Ste 1
Memphis, TN 38118
Phone (901) 271-9500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | AR | Yes |
Addresses
Primary practice location
620 N Main St #2
Harrison, AR 72601-2911
Mailing address
PO Box 1500
Harrison, AR 72602-1500
Phone (870) 414-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160956002 | Medicaid | AR |
Other names
- North Arkansas Anesthesia
Other providers in Harrison, AR
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
All providers in Harrison, AR · Anesthesiology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.