NPIMap

Organization Active NPI

Conway Emergency Physicians, P.a.

  • General Practice Physician
  • Conway, AR
National Provider Identifier
1861725871
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CONWAY EMERGENCY PHYSICIANS, P.A.
Practice address
2200 Ada Ave
Conway, AR 72034-4985
Phone
(501) 513-5444
Fax
(501) 450-2216
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Mrs. Connie Wear
Title
Office Manager
Phone
(501) 513-5793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2200 Ada Ave
Conway, AR 72034-4985

Mailing address

PO Box 757
Conway, AR 72033-0757
Phone (501) 513-5793

Other identifiers 2

IdentifierTypeStateIssuer
C5964OtherARBLUE CROSS BLUE SHIELD
177833002MedicaidAR

Other names 1

  • Conway Emergency Physicians Wound Care Clinic Physicians Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1861725871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720330757",
            "telephone_number": "501-513-5793",
            "fax_number": "501-513-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ADA AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344985",
            "telephone_number": "501-513-5444",
            "fax_number": "501-450-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY EMERGENCY PHYSICIANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "WEAR",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-513-5793",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C5964",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177833002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conway Emergency Physicians Wound Care Clinic Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 9, 2009; 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.