NPIMap

Organization Active NPI

Conway Womens Health Center PA

  • Specialist
  • Conway, AR
National Provider Identifier
1770510042
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MC1581 Issued in AR
Legal business name
CONWAY WOMENS HEALTH CENTER PA
Practice address
2519 College Ave
Conway, AR 72034-6135
Phone
(501) 450-3920
Fax
(501) 450-7718
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Dr. Debra C Lawrence, M.D.NPI 1184629388
Title
President
Phone
(501) 450-3920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MC1581 AR Primary

Addresses

Primary practice location

2519 College Ave
Conway, AR 72034-6135

Mailing address

2519 College Ave
Conway, AR 72034-6135
Phone (501) 450-3920

Other identifiers 1

IdentifierTypeStateIssuer
128037002MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000699 AR Part B Supplier - Clinic/Group Practice 4688651433 Receives reassigned benefits from 7 practitioners
Practice locations: Clinton, AR; Conway, AR

National Provider Directory

National Provider Directory

Locations

2200 Ada Ave
Ste 301
Conway, AR 72034
Phone (501) 358-6560

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1251

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1770510042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346135",
            "telephone_number": "501-450-3920",
            "fax_number": "501-450-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346135",
            "telephone_number": "501-450-3920",
            "fax_number": "501-450-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY WOMENS HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-450-3920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "MC1581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128037002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.