MR. DOMINIC AMADEO JACOBELLI (NPI# 1154601805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154601805 |
| Entity Type | Individual |
| Full Name | MR. DOMINIC AMADEO JACOBELLI |
| Credential | MD |
| Practice Address |
1000 S 52nd St Rogers AR 72758 |
| Mailing Address |
1000 S 52nd St Rogers AR 72758-8610 |
| Practice Telephone | 4792719607 |
| Mailing Telephone | 4792719607 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
E-11530 | AR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2105 51st St, Sacramento, CA 958171506 | 7606044042 |
| Street Address |
1000 S 52ND ST |
| City | ROGERS |
| State | AR |
| Zip Code | 72758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063408243 | Barbara Rayfield Bess | Psychiatry & Neurology | 1000 S 52nd St, Rogers, AR 72758-8610 | 2005-09-23 |
| 1013417518 | Corey Carver | Physician Assistant | 1000 S 52nd St, Rogers, AR 72758-8610 | 2018-02-20 |
| 1578954616 | Lindsey Erin Smallridge | Physician Assistant | 1000 S 52nd St, Rogers, AR 72758-8610 | 2015-02-11 |
| 1245673938 | Andreas J. Chen | Orthopaedic Surgery | 1000 S 52nd St, Rogers, AR 72758 | 2013-04-11 |
| 1467718619 | Patrick Callen Dickerson | Orthopaedic Surgery | 1000 S 52nd St, Rogers, AR 72758 | 2012-04-02 |
| 1013233147 | Neurobess Pa | Psychiatry & Neurology | 1000 S 52nd St, Rogers, AR 72758-8610 | 2010-04-14 |
| 1295978443 | Charles Irving Jones IIi | Orthopaedic Surgery | 1000 S 52nd St, Mercy Clinic Orthopedics, Rogers, AR 72758-8610 | 2009-04-16 |
| 1962452938 | Julie Lynne Slavik | Physician Assistant | 1000 S 52nd St, Rogers, AR 72758-8610 | 2006-05-11 |
| 1881650554 | William Cody Grammer | Orthopaedic Surgery | 1000 S 52nd St, Rogers, AR 72758-8610 | 2006-04-21 |
| 1366415010 | Michael Anthony Griffey II | Orthopaedic Surgery | 1000 S 52nd St, Rogers, AR 72758-8610 | 2006-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1154556678 | Michael Todd Bogatch | Orthopaedic Surgery | 4000 Linwood Drive, Suite I, Paragould, AR 72450 | 2009-05-28 |
| 1740427830 | Martin Knee and Sports Medicine Center, Pa | Orthopaedic Surgery | 5320 W. Markham, Little Rock, AR 72205 | 2009-01-12 |
| 1013118025 | Kirk Allen Reynolds | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2007-05-29 |
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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.