NPIMap

Organization Active NPI

Mercy Health Northwest Arkansas Communities

  • Otolaryngology Physician
  • Rogers, AR
National Provider Identifier
1508167677
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
Practice address
5204 W Redbud St
Rogers, AR 72758-8936
Phone
(479) 636-0110
Fax
(479) 631-0491
NPI assigned
Nov 5, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Greta Wilcher
Title
Cfo
Phone
(479) 314-6104

Owned or controlled facilities with NPI records 5

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

Other NPIs with the same Medicare PAC ID 4

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

Practitioners 320

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

View all 320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110302000405 AR Part B Supplier - Clinic/Group Practice 0648177873 Receives reassigned benefits from 14 practitioners
Practice locations: Rogers, AR

All facility ownership & control disclosures 5

Medicare enrollment files

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

FacilityTypeRoleSince
Mercy Hospital Northwest ArkansasRogers, AR, CCN 040010 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 9, 1995
Mercy Hospital BerryvilleBerryville, AR, CCN 041329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 2, 2018
Mercy Hospital BerryvilleBerryville, AR, CCN 04Z329 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2018
Mercy Rehabilitation Hospital Northwest ArkansasRogers, AR, CCN 043036 Hospital 5% Or Greater Indirect Ownership Interest (49.5%) Sep 28, 2023
Mercy Home HealthRogers, AR, CCN 047149 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Dec 23, 2011

National Provider Directory

National Provider Directory
Tax ID family
Mercy Ear Nose and Thro6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

5204 W Redbud St
Rogers, AR 72758
Phone (479) 636-0110

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X

Addresses

NPPES NPI Registry

Primary practice location

5204 W Redbud St
Rogers, AR 72758-8936

Mailing address

5204 W Redbud St
Rogers, AR 72758-8936
Phone (479) 636-0110

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2025.

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1508167677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 W REDBUD ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588936",
            "telephone_number": "479-636-0110",
            "fax_number": "479-631-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 W REDBUD ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588936",
            "telephone_number": "479-636-0110",
            "fax_number": "479-631-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "WILCHER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-314-6104"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.