CENTRAL ARKANSAS SPINE SPECIALIST (NPI# 1205280138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205280138 |
| Entity Type | Organization |
| Organization Name | CENTRAL ARKANSAS SPINE SPECIALIST |
| Practice Address |
5 Medical Park Dr Ste 308 Benton AR 72015-3729 |
| Mailing Address |
Po Box 1615 Searcy AR 72145-1615 |
| Practice Telephone | 5017766545 |
| Practice Fax Number | 5017766546 |
| Mailing Telephone | 5017766252 |
| Mailing Fax Number | 5017766271 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | ANNA KIPP (ADMINISTRATOR) |
| Authorized Official Telephone | 5017766039 |
| Is Organization Subpart | Y |
| Parent Organization Name | SALINE PHYSICIAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | AR | Suppliers |
| Street Address |
5 MEDICAL PARK DR STE 308 |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690523 | Saline Women's Group | Obstetrics & Gynecology | 5 Medical Park Dr, Suite Gl2, Benton, AR 72015-3729 | 2005-12-16 |
| 1538522347 | Central Arkansas Spine Specialists | Orthopaedic Surgery | 5 Medical Park Dr, Ste 308, Benton, AR 72015-3729 | 2016-03-30 |
| 1033507439 | Epoch Health- Benton, Pllc. | General Practice | 5 Medical Park Dr, Benton, AR 72015-3729 | 2015-01-07 |
| 1881007466 | Cynthia Martindale | Pharmacist | 5 Medical Park Dr, Suite 102a, Benton, AR 72015-3729 | 2014-06-11 |
| 1538410147 | Saline Physician Services, LLC | Internal Medicine | 5 Medical Park Dr, Suite 305, Benton, AR 72015-3729 | 2012-09-21 |
| 1568718633 | Saline Physician Services, LLC | Internal Medicine | 5 Medical Park Dr, Suite 305, Benton, AR 72015-3729 | 2012-07-26 |
| 1558678276 | Saline Physician Services, LLC | Surgery | 5 Medical Park Dr, Suite Gl2, Benton, AR 72015-3729 | 2010-09-01 |
| 1134454952 | Kim N Smith M.d.p.a. | Specialist | 5 Medical Park Dr, Suite Gl2, Benton, AR 72015-3729 | 2009-10-13 |
| 1770745523 | Kristin Patton | Surgery | 5 Medical Park Dr, Suite 102, Benton, AR 72015-3729 | 2008-07-01 |
| 1891966339 | Melissa Beth Duncan | Audiologist | 5 Medical Park Dr, Suite 203, Benton, AR 72015-3729 | 2008-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992265128 | Twin Rivers Respiratory Care, Inc. | Durable Medical Equipment & Medical Supplies | 2519 Military Rd Ste B, Benton, AR 72015-2441 | 2019-03-22 |
| 1154796530 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 609 Military Road, Benton, AR 72015-3706 | 2015-12-10 |
| 1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
| 1679875363 | Siebert Mobilty Inc. | Durable Medical Equipment & Medical Supplies | 712 Hwy 5 N, Benton, AR 72019 | 2010-12-01 |
| 1720380744 | Regional Medical Solutions, Inc | Durable Medical Equipment & Medical Supplies | 3825 Wildflower Ln, Benton, AR 72015-9004 | 2010-11-23 |
| 1598825226 | Preferred Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 6206 Highway 411, Benton, TN 37307 | 2006-12-11 |
| 1275618035 | Lifequest LLC | Durable Medical Equipment & Medical Supplies | 4719 Palmetto Rd, Benton, LA 71006-9712 | 2006-10-27 |
| 1902811268 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 702 Military Rd, Benton, AR 72015-3311 | 2006-07-29 |
| 1336166834 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 17309 I 30, Benton, AR 72015 | 2006-07-17 |
| 1982621249 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 919 Giacone Dr, Benton, IL 62812-1639 | 2006-07-16 |
| Find all providers in BENTON | ||||
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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.