Organization Active NPI

Healthway Inc

  • Oxygen Equipment & Supplies (DME)
  • Rogers, AR
National Provider Identifier
1811991193
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
001669 Issued in AR
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

Updated by the provider on Oct 10, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
143544737MedicaidAR
143543716MedicaidAR
49761OtherARBLUECROSS/BLUESHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930028311 AR DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & EquipmentDME Supplier - Orthotic Personnel 2567583644 Practice locations: Rogers, AR

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Healthway Inc1149 W Walnut St, Rogers, AR 72756-3500(479) 621-6151 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 assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.