CENTRAL ARKANSAS SPINE SPECIALISTS (NPI# 1538522347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538522347 |
| Entity Type | Organization |
| Organization Name | CENTRAL ARKANSAS SPINE SPECIALISTS |
| Practice Address |
5 Medical Park Dr Ste 308 Benton AR 72015-3729 |
| Practice Telephone | 5017766252 |
| Practice Fax Number | 5017766271 |
| Mailing Telephone | 5017766252 |
| Mailing Fax Number | 5017766271 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |
| Authorized Official Name | MRS. ANNA KIPP (DIRECTOR OF PHYSICIAN SERVICES) |
| Authorized Official Telephone | 5017766093 |
| Is Organization Subpart | Y |
| Parent Organization Name | SALINE PHYSICIAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| 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 |
| 1205280138 | Central Arkansas Spine Specialist | Durable Medical Equipment & Medical Supplies | 5 Medical Park Dr, Ste 308, Benton, AR 72015-3729 | 2016-04-18 |
| 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 |
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| 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 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 |
|---|---|---|---|---|
| 1790952406 | Jeffrey S Johnson | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72022-9267 | 2008-05-12 |
| 1336368661 | Mark S Bailey Jr. | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72019-7566 | 2007-04-25 |
| 1952412892 | Donald Scott Walsh | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72019-7566 | 2006-08-31 |
| 1093825002 | Saline Orthopedic Group P A | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72022-9267 | 2006-08-30 |
| 1700831872 | Jason A Smith | Orthopaedic Surgery | 5 Medical Park Dr, Ste 308, Benton, AR 72015-3729 | 2006-05-24 |
| 1265482426 | Claude E Saint-jacques | Orthopaedic Surgery | 617 Old Symsonia Rd, Benton, KY 42025-5042 | 2006-05-10 |
| 1922082684 | Ralph D Cash | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72019-7566 | 2005-12-05 |
| 1336123512 | Jerry J Lorio | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72019-7566 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790257442 | Samuel G. Meredith Md Pa | Orthopaedic Surgery | 1229 State Highway 77 Ste 1, Marion, AR 72364-9050 | 2018-12-19 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1043612625 | University of Arkansas At Pine Bluff | Orthopaedic Surgery | 1200 University Dr, Pine Bluff, AR 71601-2780 | 2014-09-25 |
| 1881959450 | Robert J. Tomlinson Md, Pa | Orthopaedic Surgery | 212 W. Monroe Ave., Ste A, Lowell, AR 72745 | 2012-07-10 |
| 1497023147 | Reeves Spine and Orthopedic,llc | Orthopaedic Surgery | 224 W. Erie, Harrison, AR 72601 | 2011-12-09 |
| 1578840237 | Bill T. Shanlever | Orthopaedic Surgery | 1103 Wilkins Ave, Jonesboro, AR 72401 | 2011-11-09 |
| 1376828954 | Cooper Clinic, P.a. | Orthopaedic Surgery | 1500 Dodson Ave Ste 285, Fort Smith, AR 72901-5182 | 2011-10-14 |
| 1164700068 | Nwa Orthopaedic Consulting, Pa | Orthopaedic Surgery | 161 W Van Asche Dr Ste 101, Fayetteville, AR 72703-4999 | 2011-07-26 |
| 1588954416 | Donald Claude Bailey | Orthopaedic Surgery | 500 Fairway Cir Apt G, Springdale, AR 72764-1026 | 2011-04-12 |
| 1700183548 | Robert G Bebout Md | Orthopaedic Surgery | 1804 Rannoch Trce, Fort Smith, AR 72908-0971 | 2011-02-14 |
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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.