JOHNSON REGIONAL MEDICAL CENTER (NPI# 1639557226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639557226 |
| Entity Type | Organization |
| Organization Name | JOHNSON REGIONAL MEDICAL CENTER |
| Other Organization Name | JOHNSON REGIONAL MEDICAL CENTER ORTHOPEDIC CLINIC |
| Practice Address |
1 Medicine Dr Clarksville AR 72830-4431 |
| Practice Telephone | 4797545405 |
| Practice Fax Number | 4797544441 |
| Mailing Telephone | 4797545405 |
| Mailing Fax Number | 4797544441 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-07-22 |
| Authorized Official Name | EDWARD ANDERSON (AUTHORIZED OFFICAL) |
| Authorized Official Telephone | 4797545405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Johnson Regional Medical Center Orthopedic Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134116049 | Johnson Regional Medical Center | General Acute Care Hospital | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2005-10-05 |
| 1447597265 | Johnson Regional Medical Center | Hospitalist | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-01-14 |
| 1801124177 | Johnson Regional Medical Center | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2009-11-25 |
| 1275753881 | Johnson Regional Medical Center | Ambulance | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2007-04-26 |
| 1275558710 | Johnson Regional Medical Center | Surgery | 2 Medicine Dr, Clarksville, AR 72830-4431 | 2006-07-13 |
| 1255380416 | Johnson Regional Medical Center | Home Health | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1265481337 | Johnson Regional Medical Center | Psychiatric Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1841249943 | Johnson Regional Medical Center | Rehabilitation Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1134178130 | Johnson Regional Medical Center | Medicare Defined Swing Bed Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1336198555 | Johnson Regional Medical Center | Family Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-06 |
| Street Address |
1 MEDICINE DR |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932293743 | Robert Henry May | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2006-10-03 |
| 1801124177 | Johnson Regional Medical Center | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2009-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| 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 |
|---|---|---|---|---|
| 1629339510 | Tyler R Morris | Orthopaedic Surgery | 980 Professional Park Dr Ste A, Clarksville, TN 37040-5251 | 2012-06-06 |
| 1932293743 | Robert Henry May | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2006-10-03 |
| 1407859598 | Keith David Starkweather | Orthopaedic Surgery | 980 Professional Park Dr., Suite A, Clarksville, TN 37040-5251 | 2005-05-23 |
| 1629549845 | Dickson Orthopaedic and Sports Medicine Pllc | Orthopaedic Surgery | 1100 Ted A Crozier Sr Blvd Ste A, Clarksville, TN 37043-8912 | 2018-12-16 |
| 1871958884 | Advanced Diagnostic Imaging, PC | Orthopaedic Surgery | 625 N Riverside Dr, Clarksville, TN 37040-3127 | 2015-12-17 |
| 1689089062 | Jason Harms | Orthopaedic Surgery | 141 Hillcrest Dr, Clarksville, TN 37043-5088 | 2014-06-24 |
| 1366706129 | Michael Cain | Orthopaedic Surgery | 141 Hillcrest Dr, Clarksville, TN 37043 | 2012-06-26 |
| 1801124177 | Johnson Regional Medical Center | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2009-11-25 |
| 1366617466 | Clarksville Orthopedics, Plc | Orthopaedic Surgery | 311 Landrum Place, Suite 100, Clarksville, TN 37043 | 2008-04-29 |
| 1154513448 | Tennessee Orthopaedic Alliance Pa | Orthopaedic Surgery | 141 Hillcrest Dr, Clarksville, TN 37043-5088 | 2007-08-10 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
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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.