Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Conway Regional Medical Center, Inc

Organization Gastroenterology Physician · NPI 1376054155

Conway Regional Medical Center, Inc is a Gastroenterology Physician in Conway, Arkansas. Licensed in Arkansas. Registered with an NPI since 2017.

Licensed in
AR
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2200 Ada Ave Ste 201
Conway, AR 72034-4984
Phone: (501) 852-1360
Fax: (501) 552-5316
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X (AR)

Record details

NPI number1376054155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pack — Cfo · (501) 450-2112
Other names Conway Regional Gastroenterology Center
NPI enumeratedOctober 19, 2017
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023
Mailing address2200 Ada Ave Ste 201, Conway, AR 72034-4984

Other providers in Conway