Active NPI
Healthway Inc
- Oxygen Equipment & Supplies (DME)
- Rogers, AR
National Provider Identifier
1811991193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 001669
- Legal business name
- HEALTHWAY INC
- Practice address
- 1149 W Walnut St
Ste B
Rogers, AR 72756-3543 - Phone
- (479) 621-6151
- Fax
- (479) 621-0172
- NPI assigned
- Jun 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas William Gray II, BSRT, LRCP
- Title
- Owner, Respiratory Therapist
- Phone
- (479) 621-6151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 001669 | AR | Primary |
Addresses
Primary practice location
1149 W Walnut St
Ste B
Rogers, AR 72756-3543
Mailing address
PO Box 804
Rogers, AR 72757-0804
Phone (479) 621-6151
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143544737 | Medicaid | AR | |
| 143543716 | Medicaid | AR | |
| 49761 | Other | AR | BLUECROSS/BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930028311 | AR | DME Supplier - Medical Supply Company With Respiratory Therapist | 2567583644 | Practice locations: Rogers, AR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Healthway Inc | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual … | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1149 W Walnut St
Ste B
Rogers, AR 72756
Phone (479) 621-6151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349827200000",
"number": "1811991193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804",
"city": "ROGERS",
"state": "AR",
"postal_code": "727570804",
"telephone_number": "479-621-6151",
"fax_number": "479-621-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 W WALNUT ST",
"address_2": "STE B",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563543",
"telephone_number": "479-621-6151",
"fax_number": "479-621-0172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHWAY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-02",
"last_updated": "2012-10-10",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER, RESPIRATORY THERAPIST",
"authorized_official_telephone_number": "479-621-6151",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "BSRT, LRCP"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "AR",
"license": "001669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143544737",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143543716",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "49761",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.