OrganizationActive
Washington Regional Medical System
NPI 1205449691 · Gynecology Physician · Fayetteville, AR
Provider details
- NPI number
- 1205449691
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Eckels, Cfo(479) 463-2825
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3561 Johnson Mill Blvd
Suite 102
Fayetteville, AR 72704
Phone: (479) 404-4900
Fax: (479) 404-4910
Street-level locationGet directions
Mailing address
Po Box 550
Lowell, AR 72745-0550
Other names (DBA / former)
- Doing business as
- Washington Regional Integrative Gynecology Clinic
Registry dates
- Enumerated
- 2020-08-26
- Last updated
- 2020-08-26
- Certified
- 2020-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.