Regency Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

AR4182 Issued in AR

Legal business name

REGENCY HOSPITAL

Practice address

1125 N College Ave
Fayetteville, AR 72703-1908

Phone

(479) 713-7000

Fax

(479) 713-7006

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Mike McLean

Title

Ceo

Phone

(479) 713-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 040146

Legal name

REGENCY HOSPITAL NW ARKANSAS

Certification status

Terminated Other: provider status change, May 31, 2004

Provider type (POS)

Hospital – Short-term

Participating since

Nov 25, 2003

Last certification

Nov 25, 2003

Beds

50

Ownership / control type

Private (for profit)

Facility address

1125 N College Ave, 4TH Floor
Fayetteville, AR 72703

Locations

Practitioners 4

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

• Karen Anne Goodner, PHARM. D.

  • Pharmacist
  • Ozark, AR
  • NPI 1376066027
  NPD (past)
• Mark S. Thomas, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fayetteville, AR
  • NPI 1699755942
  NPD (past)
• Haley Elizabeth Vo, M.D.

  • Family Medicine Physician
  • Bella Vista, AR
  • NPI 1669676557
  NPD (past)
• Sydney Nicole Zotti, PHARMD

  • Pharmacist
  • Fayetteville, AR
  • NPI 1366162299
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1982846218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031908",
            "telephone_number": "479-713-7000",
            "fax_number": "479-713-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031908",
            "telephone_number": "479-713-7000",
            "fax_number": "479-713-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-713-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "AR4182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lauren Reed, PHARMD
• Jordan Tyler Reed
• Sarah Reed
• Robert Bradley Reeves, MD
• William Bobby Reeves, LMSW
• Amanda Katlin Reid, PA
• Ashley Reider
• Charles Reinhardt
• Heather Ann Rekhi
• Brian D. Rekus, M.D.

• General Acute Care Hospital in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• General Acute Care Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.