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SOUTH ARKANSAS ORTHOPAEDICS AND SPORTS MEDICINE CENTER PLLC NPI 1407845951


NPI Information

NPI: 1407845951
Provider Name: SOUTH ARKANSAS ORTHOPAEDICS AND SPORTS MEDICINE CENTER PLLC

Doing Business As: SOUTH ARKANSAS ORTHOPAEDICS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2700 VINE ST
EL DORADO, AR
ZIP 71730
Phone: (870) 862-1144
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SOUTH ARKANSAS ORTHOPAEDICS AND SPORTS MEDICINE CENTER PLLC is a specialist in El Dorado, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTH ARKANSAS ORTHOPAEDICS AND SPORTS MEDICINE CENTER PLLC NPI is 1407845951. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South Arkansas Orthopaedics.

The provider's business location address is:

2700 VINE ST
EL DORADO, AR
ZIP 71730-700
Phone: (870) 862-1144
Fax: (870) 864-0782

The provider's authorized official is Kathey D Jones .
The authorized official title is Office Manager and has the following contact phone number (870) 862-1144.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 12/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200039405OTHERARKANSASUNITED/RAILROAD MEDICARE
20424120002MEDICARE NSCARKANSAS
35C382MEDICARE PINARKANSAS
4200031980OTHERARKANSASUNITED/RAILROAD MEDICARE
5141689002MEDICAIDARKANSAS
6200039406OTHERARKANSASUNITED/RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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