Physicians' Specialty Hospital

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

PHYSICIANS' SPECIALTY HOSPITAL

Practice address

3873 N. Parkview Drive
Fayetteville, AR 72703-6286

Phone

(479) 571-7070

Fax

(579) 571-7090

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Daryle R. Greene, R.N.

Title

Ceo

Phone

(479) 571-7001

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1407199490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3873 N. PARKVIEW DRIVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036286",
            "telephone_number": "479-571-7070",
            "fax_number": "579-571-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3873 N. PARKVIEW DRIVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036286",
            "telephone_number": "479-571-7070",
            "fax_number": "579-571-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS' SPECIALTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DARYLE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-571-7001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180190105",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Michele Phillips, MS, PT
• Tara Phillips
• Ryan Philobos, CGC
• Physician Comp RX, LLC
• Physician'S Therapy Group, LLC
• Physicians' Specialty Hospital LLC
• Physicians' Surgery Center of Fayetteville, LLC
• Anna North Piazza, LCSW
• Melissa Pickens
• Jeremiah Pickett

• Special Hospital in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Special Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.