Fayetteville Women'S Clinic

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

C4206 Issued in AR

Legal business name

FAYETTEVILLE WOMEN'S CLINIC

Practice address

1011 N College Ave
Fayetteville, AR 72701-2012

Phone

(479) 442-8166

Fax

(479) 442-0360

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Mary K Weiss, RN

Title

Office Manager

Phone

(479) 442-8166

Specialties & licenses 1

Addresses

Other names 1

• William F. Harrison Other name

Locations

Practitioners 1

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

• Regina R Hudec, M.D.

  • General Practice Physician
  • Fayetteville, AR
  • NPI 1558385260
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1508865965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012012",
            "telephone_number": "479-442-8166",
            "fax_number": "479-442-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012012",
            "telephone_number": "479-442-8166",
            "fax_number": "479-442-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE WOMEN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-442-8166",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AR",
            "license": "C4206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William F. Harrison",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Fayettevillespeaks
• Fearless Therapy LLC
• Teresa Fedosky, CPM
• Kelsey Felder

• Gynecology Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.