CONWAY REGIONAL MEDICAL CENTER INC – NPI #1154138097
Pediatrics

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

CONWAY REGIONAL MEDICAL CENTER INC is a provider located in CONWAY, AR. NPPES has assigned the NPI number 1154138097 to CONWAY REGIONAL MEDICAL CENTER INC on December 13, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine

The NPI profile was last updated on May 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONWAY REGIONAL MEDICAL CENTER INC below.

NPI Profile for
CONWAY REGIONAL MEDICAL CENTER INC

NPI Number
1154138097
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONWAY REGIONAL MEDICAL CENTER INC
Primary location
2302 COLLEGE AVE STE 200
CONWAY, AR 72034-6297
Phone: (501) 513-5385 Fax: (501) 513-5257
Mailing address
PO BOX 9662
CONWAY, AR 72033-9662
Phone: (501) 852-1363 Fax: (501) 852-1364
Organization Subpart
No
Authorized Official
MOLLIE PARKS
CFO
Phone: (501) 428-5854
Updated
Certification Date
May 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.