HENDERSON STATE UNIVERSITY


Address: 1100 Henderson St, Hsu Box 7630, Arkadelphia, AR 71999-0001
Phone: 8702305426

HENDERSON STATE UNIVERSITY (NPI# 1639571201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639571201
Entity Type Organization
Organization Name HENDERSON STATE UNIVERSITY
Other Organization Name HENDERSON STATE SPORTS MEDICINE
Practice Address 1100 Henderson St
Hsu Box 7630
Arkadelphia
AR 71999-0001
Mailing Address 5050 Spring Valley Rd
Dallas
TX 75244-3995
Practice Telephone 8702305426
Mailing Telephone 8005559073
Mailing Fax Number 9723673452
Enumeration Date 2014-09-25
Last Update Date 2014-09-25
Authorized Official Name ROB REDDING (ASST. ATHLETICS DIRECTOR)
Authorized Official Telephone 8702305069
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Henderson State Sports Medicine Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities HENDERSON STATE UNIVERSITY 1100 Henderson St, Arkadelphia, AR 71999-0001

Office Location

Street Address 1100 HENDERSON ST
HSU BOX 7630
City ARKADELPHIA
State AR
Zip Code 71999-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043272917 Darrell R. Cooper Specialist/Technologist 1100 Henderson St, Arkadelphia, AR 71999-0001 2006-04-05
1861002164 Robert Andrew Fisher Specialist/Technologist 1100 Henderson St, Arkadelphia, AR 71999-0001 2020-08-03
1194384214 Kristen Pettit Specialist/Technologist 1100 Henderson St, Arkadelphia, AR 71999-4428 2019-06-12
1457837585 Chantel Rogier Specialist/Technologist 1100 Henderson St, Arkadelphia, AR 71999-0001 2018-07-11
1548785124 Thoms Daniel Miller Specialist/Technologist 1100 Henderson St, Arkadelphia, AR 71999-0001 2017-08-04
1154774172 Cassidy Lee Mettling Specialist/Technologist 1100 Henderson St, Arkadelphia, AR 71999-0001 2016-07-14
1750767679 Caleb Daniel Specialist/Technologist 1100 Henderson St, Hsu Box 7894, Arkadelphia, AR 71999-0001 2015-08-03
1043614878 Keith Michael Wear Contractor 1100 Henderson St, Arkadelphia, AR 71999-0001 2014-10-22
1407250236 Will Maass Contractor 1100 Henderson St, Arkadelphia, AR 71999-0001 2014-10-22
1639579345 Emmitt Knowles Case Manager/Care Coordinator 1100 Henderson St, Arkadelphia, AR 71999-0001 2014-08-29
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356481410 Arkansas Health Group Orthopaedic Surgery 2913 Cypress Rd Ste 200, Arkadelphia, AR 71923-4252 2007-02-07
1134111099 Kevin C Mcleod I Orthopaedic Surgery 2910 Cypress Rd, Arkadelphia, AR 71923-4227 2005-08-17

Providers in the same taxonomy and state

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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Competitor

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City ARKADELPHIA
Zip Code 71999

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Dataset Information

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.

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