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OZARK ORTHOPAEDICS P.A. NPI 1649210584


NPI Information

NPI: 1649210584
Provider Name: OZARK ORTHOPAEDICS, P.A.

Doing Business As: OZARK ORTHOPAEDIC AND SPORTS MEDICINE

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
3317 N WIMBERLY DR
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-2752
Get Directions

OZARK ORTHOPAEDICS, P.A. is an orthopaedic surgery in Fayetteville, AR. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. OZARK ORTHOPAEDICS, P.A. NPI is 1649210584. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ozark Orthopaedic And Sports Medicine.

The provider's business location address is:

3317 N WIMBERLY DR
FAYETTEVILLE, AR
ZIP 72703-056
Phone: (479) 521-2752
Fax: (479) 521-4603

The provider's authorized official is Tracy Davenport .
The authorized official title is Director Of Operations and has the following contact phone number (479) 587-3149.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/6/2020.


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
1208100000XPhysical Medicine & RehabilitationNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3207XS0106XOrthopaedic SurgeryHand SurgeryNo
4207X00000XOrthopaedic SurgeryMC-0077ARKANSASYes

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
1106296002MEDICAIDARKANSAS
2205331716OTHERARKANSASMEDICAID DME FOR SILOAM SPRINGS CLINIC

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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