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).
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 |
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 Name | Type Code |
---|---|
Henderson State Sports Medicine | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HENDERSON STATE UNIVERSITY | 1100 Henderson St, Arkadelphia, AR 71999-0001 |
Street Address |
1100 HENDERSON ST HSU BOX 7630 |
City | ARKADELPHIA |
State | AR |
Zip Code | 71999-0001 |
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 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 |
---|---|---|---|---|
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 |
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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City | ARKADELPHIA |
Zip Code | 71999 |
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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.