MICHAEL TODD BOGATCH (NPI# 1154556678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154556678 |
| Entity Type | Individual |
| Full Name | MICHAEL TODD BOGATCH |
| Credential | M.D. |
| Practice Address |
4000 Linwood Drive Suite I Paragould AR 72450 |
| Mailing Address |
1000 W. Kingshighway Suite 14 Paragould AR 72450 |
| Practice Telephone | 8702052125 |
| Practice Fax Number | 8702052126 |
| Mailing Telephone | 8702398591 |
| Mailing Fax Number | 8702398137 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2019-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
E12668 | AR | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A129673 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4000 LINWOOD DRIVE SUITE I |
| City | PARAGOULD |
| State | AR |
| Zip Code | 72450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108432 | George David Munday | Urology | 4000 Linwood Drive, Suite G, Paragould, AR 72450 | 2006-03-17 |
| 1700849692 | Doctors Health Group, Inc | Clinic/Center | 4000 Linwood Drive, Suite A, Paragould, AR 72450-7224 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
| 1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
| 1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
| 1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
| 1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
| 1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
| 1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| Find all providers in zip 72450 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124504030 | Interventional Cellular Medicine Centers, LLC | Orthopaedic Surgery | 593 Horsebarn Road, Suite 202, Rogers, AR 72758-7275 | 2018-07-13 |
| 1467612085 | Kent Allen Schnetzler | Orthopaedic Surgery | 400 Crestwood Circle, Suite L, Mena, AR 71953 | 2008-06-17 |
| 1124012000 | Christopher P Dougherty | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2005-09-07 |
| 1730601451 | Conway Regional Medical Center, Inc. | Orthopaedic Surgery | 525 Western Ave Ste 302, Conway, AR 72034-4981 | 2017-07-14 |
| 1144617465 | Michael Mcconnaughhay | Orthopaedic Surgery | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2015-04-24 |
| 1639571201 | Henderson State University | Orthopaedic Surgery | 1100 Henderson St, Hsu Box 7630, Arkadelphia, AR 71999-0001 | 2014-09-25 |
| 1154601805 | Dominic Amadeo Jacobelli | Orthopaedic Surgery | 1000 S 52nd St, Rogers, AR 72758 | 2011-08-26 |
| 1922387505 | White River Health System Inc | Orthopaedic Surgery | 2110 East Main, Mountain View, AR 72560 | 2011-08-12 |
| 1659508810 | Kenneth M Rosenzweig, Md, Pa | Orthopaedic Surgery | 8907 Kanis Rd, Suite 330, Little Rock, AR 72205-6449 | 2009-06-16 |
| 1740427830 | Martin Knee and Sports Medicine Center, Pa | Orthopaedic Surgery | 5320 W. Markham, Little Rock, AR 72205 | 2009-01-12 |
| 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.