NPIMap

Organization Active NPI

Washington Regional Medical System

Doing business as Washington Regional Hospital Medicine Group

  • Hospitalist Physician
  • Fayetteville, AR
National Provider Identifier
1306801485
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
WASHINGTON REGIONAL MEDICAL SYSTEM
Doing business as
Washington Regional Hospital Medicine Group
Practice address
3215 N North Hills Blvd
Fayetteville, AR 72703
Phone
(479) 463-1000
NPI assigned
Apr 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Jo Rothrock
Title
Director Clinic Administration
Phone
(479) 463-1390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

3215 N North Hills Blvd
Fayetteville, AR 72703

Mailing address

PO Box 879
Fayetteville, AR 72702-0879
Phone (479) 713-7115

Other names 1

  • Washington Regional Hospital Medicine Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051208000082 AR Part B Supplier - Clinic/Group Practice 8820995434 Receives reassigned benefits from 123 practitioners
Practice locations: Fayetteville, AR

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

146 Passion Play Rd
Ste A
Eureka Springs, AR 72632
Phone (479) 253-2463

3 E Appleby Rd
Ste 201
Fayetteville, AR 72703
Phone (479) 404-1100

3 E Appleby Rd
Ste 402
Fayetteville, AR 72703
Phone (479) 404-1250

3 E Appleby Rd
Ste 402B
Fayetteville, AR 72703

3215 N Northhills Blvd
#B150
Fayetteville, AR 72703

3277 N Northhills Blvd
Fayetteville, AR 72703

3278 N Northhills Blvd
Fayetteville, AR 72703

3279 N Northhills Blvd
Fayetteville, AR 72703

3280 N Northhills Blvd
Fayetteville, AR 72703

3281 N Northhills Blvd
Fayetteville, AR 72703

3282 N Northhills Blvd
Fayetteville, AR 72703

34 W Colt Square Dr
Fayetteville, AR 72703

34 W Colt Square Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 200-0965

3561 Johnson Mill Blvd
Ste 101
Fayetteville, AR 72704
Phone (479) 404-4500

3561 Johnson Mill Blvd
Ste 201
Fayetteville, AR 72704
Phone (479) 404-4530

702 N Spring St
Harrison, AR 72601
Phone (870) 365-0761

707 N Main St
Harrison, AR 72601
Phone (870) 741-1166

932 N Gaskill St
Huntsville, AR 72740
Phone (479) 738-1253

106 W Park St
Lincoln, AR 72744
Phone (479) 267-2120

2125 E Main St
Ste 12
Siloam Springs, AR 72761
Phone (479) 524-5214

5320 W Sunset Ave
Ste 157
Springdale, AR 72762
Phone (479) 966-7331

813 Founders Park Dr E
Ste 201
Springdale, AR 72762
Phone (479) 463-5466

813 Founders Park Dr E
Ste 203
Springdale, AR 72762
Phone (479) 463-2440

813 Founders Park Dr E
Ste 206
Springdale, AR 72762

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital, a Partner of Washington RegiFayetteville, AR, CCN 043032 Hospital 5% Or Greater Indirect Ownership Interest (50%) Dec 31, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 267

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 267

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306801485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727020879",
            "telephone_number": "479-713-7115",
            "fax_number": "479-713-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 N NORTH HILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-463-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON REGIONAL MEDICAL SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTHROCK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR CLINIC ADMINISTRATION",
        "authorized_official_telephone_number": "479-463-1390"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Regional Hospital Medicine Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.