Physicians' Specialty Hospital LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

PHYSICIANS' SPECIALTY HOSPITAL LLC

Practice address

3873 N Parkview Dr
Fayetteville, AR 72703-6286

Phone

(479) 571-7070

Fax

(479) 571-7090

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. D Russ Greene, R.N.

Title

Chief Executive Officer

Phone

(479) 571-7070

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 2

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

• Robert J Tomlinson Jr., M.D.

  • Orthopaedic Surgery Physician
  • Fayetteville, AR
  • NPI 1861441198

  Multi-Specialty

  NPD (past)
• Lloyd Trichell, DPM

  • Podiatrist
  • Fayetteville, AR
  • NPI 1932131935
  NPD (past)

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1821249533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3873 N PARKVIEW DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036286",
            "telephone_number": "479-571-7070",
            "fax_number": "479-571-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3873 N PARKVIEW DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036286",
            "telephone_number": "479-571-7070",
            "fax_number": "479-571-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS' SPECIALTY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "RUSS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "479-571-7070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP6121",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT MEDICARE",
            "identifier": "5G268",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10152",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180190105",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Phillips
• Ryan Philobos, CGC
• Physician Comp RX, LLC
• Physician'S Therapy Group, LLC
• Physicians' Specialty Hospital
• Physicians' Surgery Center of Fayetteville, LLC
• Anna North Piazza, LCSW
• Melissa Pickens
• Jeremiah Pickett
• Mark G Pickhardt, MD

• Special Hospital in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Special Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.