Organization · Type 2 NPI

Washington Regional Medical System

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Fayetteville, AR

NPI number 1356842884 Active

Practice location

3276 N Northhills Blvd
Fayetteville, AR 72703-4005

Call (479) 587-1114 Map

Fax (479) 587-1119

Mailing address

54 W Sunbridge Dr
Fayetteville, AR 72703-1822

Specialties and licenses

Taxonomy	Code	License
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary	208G00000X	None listed

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

7 other providers at this address

NPI record

NPI: 1356842884
Entity type: Organization (Type 2)
Issued: Feb 21, 2018
Last updated: Jun 16, 2018
Status: Active

Other names

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Cardiovascular Surgical Clinic of Northwest Arkansas Washington Regional · doing business as
Cardiovascular Surgical of Northwest Arkansas Washington Regional · doing business as

Authorized official

Daniel R Eckels
CFO
(479) 463-2825

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356842884

Washington Regional Medical System's National Provider Identifier is 1356842884, issued on Feb 21, 2018. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Fayetteville, AR. The record was last updated on Jun 16, 2018.