Individual provider Active NPI

Wayne A Hudec, M.D.

  • Surgery Physician
  • Fayetteville, AR
National Provider Identifier
1386658540
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E0751 Issued in AR
Practice address
3 E Appleby Rd Ste 401
Fayetteville, AR 72703-3163
Phone
(479) 404-2500
Fax
(479) 404-2501
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E0751 AR Primary

Addresses

Primary practice location

3 E Appleby Rd Ste 401
Fayetteville, AR 72703-3163

Mailing address

3 E Appleby Rd Ste 401
Fayetteville, AR 72703-3163
Phone (479) 404-2500

Other identifiers 6

IdentifierTypeStateIssuer
100140840AMedicaidOK
136874001MedicaidAR
5756750OtherARAETNA
18334000000OtherARQUALCHOICE
205420706MedicaidMO
428543OtherARHEALTHLINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100827000038 AR Practitioner - General Surgery 6204806961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3 E Appleby Rd
Suite 401
Fayetteville, AR 72703-3163
Phone (479) 404-2500

813 Founders Park Dr E
Suite 101
Springdale, AR 72762-6321
Phone (479) 463-2333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy48
Hernia repair - groin (open)15
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux36
Melanoma (skin cancer) excision26
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E0751ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System Current Accepting new patients
Washington Regional Medical System CurrentSince May 1, 2022 Accepting new patients
Ozark Surgical Associates Surgery CurrentSince Mar 21, 2000 Accepting new patients
Washington Regional Medical System CurrentSince May 1, 2022 Accepting new patients

Locations

3302 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 443-9443

3017 N Bob Younkin Dr
Ste 101
Fayetteville, AR 72703
Phone (479) 521-1484

3 E Appleby Rd
Ste 401
Fayetteville, AR 72703
Phone (479) 404-2500

Interoperability endpoints

  • Direct secure messaging: whudec23118@washingtonregional.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1386658540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E APPLEBY RD STE 401",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033163",
            "telephone_number": "479-404-2500",
            "fax_number": "479-404-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E APPLEBY RD STE 401",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033163",
            "telephone_number": "479-404-2500",
            "fax_number": "479-404-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDEC",
        "first_name": "WAYNE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E0751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100140840A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136874001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5756750",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "18334000000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205420706",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "428543",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.