DR. DAVID GORDON NEWBERN (NPI# 1558349712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558349712 |
| Entity Type | Individual |
| Full Name | DR. DAVID GORDON NEWBERN |
| Credential | M.D. |
| Practice Address |
800 Fair Park Blvd Little Rock AR 72204 |
| Practice Telephone | 5016662824 |
| Practice Fax Number | 5016669653 |
| Mailing Telephone | 5016662824 |
| Mailing Fax Number | 5016669653 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
C7130 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 121696001 | 05 | |
| AR | MEDICARE | 55519C207 | 01 |
| Street Address |
800 FAIR PARK BLVD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606933 | Jay M Lipke | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2005-08-17 |
| 1679173645 | Tristan Jenkins | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-29 |
| 1386242899 | Payton Rae Ransom | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-16 |
| 1942825476 | Bryce Bossin | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-06-10 |
| 1922658566 | Victoria Caples | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-09-16 |
| 1457818353 | Kala Carol Hart | Nurse Practitioner | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-27 |
| 1023575420 | Faith Marquardt | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-22 |
| 1346706892 | Christopher Allen Brynell | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-20 |
| 1043776099 | Lauren Abigail Rainwater | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-14 |
| 1073080255 | John Joseph Head | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2018-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.