DICKSON ORTHOPEDICS, PA


Address: 1416 E Matthews, Suite 200, Jonesboro, AR 72401-4632
Phone: 8709321920

DICKSON ORTHOPEDICS, PA (NPI# 1033650817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033650817
Entity Type Organization
Organization Name DICKSON ORTHOPEDICS, PA
Other Organization Name JONESBORO ORTHOPEDICS AND SPORTS MEDICINE
Practice Address 1416 E Matthews
Suite 200
Jonesboro
AR 72401-4632
Mailing Address 1416 E Matthews Ave
Suite 200
Jonesboro
AR 72401-4362
Practice Telephone 8709321920
Enumeration Date 2017-03-14
Last Update Date 2017-03-14
Authorized Official Name BETTY RODGERS (OFFICE MANAGER)
Authorized Official Telephone 8709321820
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PT2017-016 AR Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Jonesboro Orthopedics and Sports Medicine Doing Business As Name - Organization

Office Location

Street Address 1416 E MATTHEWS
SUITE 200
City JONESBORO
State AR
Zip Code 72401-4632

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
Find all providers in zip 72401

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013154483 Teresa Cleaves Physician Assistant 804 River Mist Dr, Jonesboro, GA 30238-5748 2009-01-07
1174646723 Karen Dixon Physician Assistant 325 Fieldstone Pkwy, Jonesboro, GA 30236-7502 2007-04-09
1992896880 Ronald M Jennings Physician Assistant 7615 Mount Zion Blvd, Jonesboro, GA 30236-7934 2006-09-27
1679858112 M&m Surgical Associates Physician Assistant 804 River Mist Dr, Jonesboro, GA 30238-5748 2011-10-17
1841418225 Southern Creseant Surgical Assistants Physician Assistant 7615 Mount Zion Blvd, Jonesboro, GA 30236-7934 2007-04-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912455387 Anthony D Long Jr. Physician Assistant 17 Mockingbird Ln, Pine Bluff, AR 71603-6107 2016-09-14
1215233887 Joshua Anthony Trinkle Physician Assistant 224 W. Erie Ave, Harrison, AR 72601 2011-01-31
1831391655 Mandy Suzanne Mooneyham Physician Assistant 3053 N College Ave, Fayetteville, AR 72703-3417 2007-06-04
1487252755 David M Street Physician Assistant 2010 Active Way, Benton, AR 72022-9267 2020-10-09
1407460843 Alexandra Paige Brown Physician Assistant 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 2020-09-02
1881158517 Jordan Lane Milam Physician Assistant 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 2019-01-28
1790252286 Allison Henry Physician Assistant 4301 W Markham St, Little Rock, AR 72205-7101 2018-11-01
1649755133 Hillary Michelle Mayberry Physician Assistant 4301 W Markham St, Little Rock, AR 72205-7101 2018-10-01
1013417518 Corey Carver Physician Assistant 1000 S 52nd St, Rogers, AR 72758-8610 2018-02-20
1316485857 Farrah Jennings Physician Assistant 1000 S. 52nd Street, Rogers, AR 72758 2017-02-04
Find all providers with the same taxonomy

Competitor

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City JONESBORO
Zip Code 72401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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