RUSSELL B. RAULS (NPI# 1356560692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356560692 |
Entity Type | Individual |
Full Name | RUSSELL B. RAULS |
Credential | MD |
Practice Address |
3 Medical Plz Mountain Home AR 72653-2918 |
Practice Telephone | 8704243400 |
Practice Fax Number | 8704244121 |
Mailing Telephone | 8704243400 |
Mailing Fax Number | 8704244121 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2015-09-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 2010-00775 | NC | Allopathic & Osteopathic Physicians |
Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
E6542 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 440106101 | 05 |
Street Address |
3 MEDICAL PLZ |
City | MOUNTAIN HOME |
State | AR |
Zip Code | 72653-2918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720052616 | Stacy Ann Kennedy | Nurse Practitioner | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2006-02-15 |
1417569328 | Brandyn Harold Ray Batterton | Physical Therapist | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2020-08-21 |
1063045698 | Kimberly Eve Kroeze | Physical Therapist | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2020-02-21 |
1093359994 | Matthew D Brandon | Physical Therapist | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2019-11-04 |
1417516568 | Asher G Bogdanove | Physical Therapist | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2019-06-12 |
1659675148 | Springfield Neurological and Spine Institute | Neurological Surgery | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2010-12-27 |
1306178140 | Michelle R Bird | Specialist/Technologist, Other | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2010-02-04 |
1992924229 | Jason P Mcconnell | Orthopaedic Surgery | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2007-04-25 |
1497871420 | Amanda Tenille Rauls | Nurse Practitioner | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2007-03-21 |
1922131820 | Melissa Smyth | Occupational Therapist | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2007-03-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
Find all providers in zip 72653 |
Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396284436 | Martin Knee and Sports Medicine Center, Pa | Orthopaedic Surgery | 2504 Mccain Blvd Ste 101, North Little Rock, AR 72116-7669 | 2017-02-22 |
1255712568 | Andrew Apple | Orthopaedic Surgery | 4301 W Markham St # 531, Little Rock, AR 72205-7101 | 2015-06-11 |
1306163779 | Adam Ryan Smith | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2010-04-26 |
1962735845 | Dipit Sahu | Orthopaedic Surgery | 4301 W Markham St # 531, Little Rock, AR 72205-7101 | 2009-09-10 |
1902884232 | David N Collins | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2006-01-06 |
1558349712 | David Gordon Newbern | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2006-01-06 |
City | MOUNTAIN HOME |
Zip Code | 72653 |
Please comment or provide details below to improve the information on RUSSELL B. RAULS.
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.