THERESA WYRICK (NPI# 1154540490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154540490 |
| Entity Type | Individual |
| Full Name | THERESA WYRICK |
| Credential | MD |
| Practice Address |
1 Childrens Way # 653 Little Rock AR 72202-3500 |
| Practice Telephone | 0136411005 |
| Practice Fax Number | 5013644082 |
| Mailing Telephone | 5013641100 |
| Mailing Fax Number | 5013644082 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD434335 | PA | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
E-6235 | AR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4301 W Markham St # 783, Little Rock, AR 722057101 | 5016868000 | 5015265148 |
| Street Address |
1 CHILDRENS WAY # 653 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235611 | Jessica R Snowden | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202 | 2005-09-13 |
| 1922620095 | Megan Elise Cole | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2020-05-12 |
| 1174156624 | Pamela Denise Royal | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2020-02-12 |
| 1245718576 | Sateesh Jayappa | Radiology | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-07-30 |
| 1427546720 | Shelby Jordyn Earnest-hastings | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202 | 2018-04-23 |
| 1730687450 | Mary Lynne Shults | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-01-28 |
| 1871001859 | Jennifer Lynn Livingston | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-01-12 |
| 1487168282 | Ryland Walt Steele | Physician Assistant | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2017-12-01 |
| 1225556632 | Paige Fenner | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202 | 2017-09-06 |
| 1902337280 | Julish Selvy | Registered Nurse | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
| 1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
| 1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
| 1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
| 1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
| Find all providers in zip 72202 | ||||
| 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 |
|---|---|---|---|---|
| 1467430702 | George Thomas Frazier Jr. | Orthopaedic Surgery | 600 S Mckinley St, Suite 200, Little Rock, AR 72205-5202 | 2006-01-06 |
| 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 |
| 1386609360 | David Michael Rhodes | Orthopaedic Surgery | 5 Saint Vincent Cir, Suite 410, Little Rock, AR 72205-5412 | 2006-04-20 |
| 1619955945 | Jeanine A Andersson | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740258839 | Peter Tang | Orthopaedic Surgery | 5511 Walsh Lane, Rogers, AR 72757 | 2006-03-14 |
| 1073513040 | Diwakar T Pulisetty | Orthopaedic Surgery | 1117 Mclain St, Suite500, Newport, AR 72112-3500 | 2005-07-29 |
| 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 |
| 1780696856 | Arkansas Orthopaedic Hand Center, P.a. | Orthopaedic Surgery | 5511 Walsh Lane, Rogers, AR 72757 | 2006-08-13 |
| City | LITTLE ROCK |
| Zip Code | 72202 |
Please comment or provide details below to improve the information on THERESA WYRICK.
| 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.