DR. DIWAKAR T PULISETTY (NPI# 1073513040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073513040 |
| Entity Type | Individual |
| Full Name | DR. DIWAKAR T PULISETTY |
| Credential | M.D. |
| Practice Address |
1117 Mclain St Suite500 Newport AR 72112-3500 |
| Mailing Address |
1000 Weldon Ave Weldon AR 72112-9461 |
| Practice Telephone | 8705236464 |
| Mailing Telephone | 8707449989 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
E 2875 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
1117 MCLAIN ST SUITE500 |
| City | NEWPORT |
| State | AR |
| Zip Code | 72112-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609178359 | Harris Medical Clinics Inc | Durable Medical Equipment & Medical Supplies | 1117 Mclain St, Suite 500, Newport, AR 72112-3500 | 2010-12-01 |
| 1598099632 | Kris I. Nwokeji | Pediatrics | 1117 Mclain St, Suite 600, Newport, AR 72112-3500 | 2009-09-22 |
| 1013141209 | Jason Todd Smith | Podiatrist | 1117 Mclain St, Suite 500, Newport, AR 72112-3500 | 2009-05-04 |
| 1275584690 | William C. Cobb | Internal Medicine | 1117 Mclain St, Newport, AR 72112-3500 | 2006-05-12 |
| 1740268093 | Dennis W Luter | Specialist | 1117 Mclain St, Suite 500, Newport, AR 72112-3500 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1780120691 | Rx Hound Inc | Pharmacy | 1117 Mclain St Ste 400, Newport, AR 72112 | 2017-01-17 |
| 1285188789 | Jasmine Mansko | Speech-Language Pathologist | 1128 S Main St, Newport, AR 72112 | 2016-08-12 |
| 1366831877 | Madison Eddington | Physical Therapy Assistant | 1807 Jetta Drive, Newport, AR 72112 | 2015-01-21 |
| 1750514840 | Ralph Irwin Wray | Counselor | 107 Laurel St, Newport, AR 72112 | 2009-08-24 |
| 1952558264 | Maxus Inc | Counselor | 2000 Mclain, Suite B, Newport, AR 72112 | 2008-08-19 |
| 1275748725 | Troy Larry Vincent Sr. | Counselor | 1507 N. Pecan St., Newport, AR 72112 | 2007-05-10 |
| 1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
| 1295895670 | Allene Cummings | Social Worker | 1507 North Pecan Street, Newport, AR 72112 | 2006-12-08 |
| 1295801207 | Brandy Diane Young | Speech-Language Pathologist | 221 Lindley Lane, Newport, AR 72112 | 2006-11-28 |
| Find all providers in zip 72112 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740258839 | Peter Tang | Orthopaedic Surgery | 5511 Walsh Lane, Rogers, AR 72757 | 2006-03-14 |
| 1467430702 | George Thomas Frazier Jr. | Orthopaedic Surgery | 600 S Mckinley St, Suite 200, Little Rock, AR 72205-5202 | 2006-01-06 |
| 1992124564 | Msk Group PC | Orthopaedic Surgery | 310 Judge Smith Dr, Marion, AR 72364 | 2014-04-10 |
| 1972825834 | Bowen Hefley Rhodes Stewart Orthopedics, Pa | Orthopaedic Surgery | 4020 Richards Rd, Suite I, North Little Rock, AR 72117-2650 | 2010-02-19 |
| 1831362573 | Brian D Norton | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2008-04-02 |
| 1932377769 | Arkansas Specialty Care Centers Pa | Orthopaedic Surgery | 600 S Mckinley St, Suite 300, Little Rock, AR 72205-5202 | 2008-02-14 |
| 1528269560 | John Michael Stephenson | Orthopaedic Surgery | 4301 W Markham St, Slot #531, Little Rock, AR 72205-7101 | 2007-05-29 |
| 1154548972 | David Albritton Black | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2007-04-20 |
| 1851489058 | Pramod Kesavaswamy Nelluri | Orthopaedic Surgery | 4300 W 7th St, Va Hospital Cavhs, Little Rock, AR 72205-5446 | 2006-10-11 |
| 1780696856 | Arkansas Orthopaedic Hand Center, P.a. | Orthopaedic Surgery | 5511 Walsh Lane, Rogers, AR 72757 | 2006-08-13 |
| Find all providers with the same taxonomy | ||||
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| 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.