JERRY S DORMAN (NPI# 1710997036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710997036 |
| Entity Type | Individual |
| Full Name | JERRY S DORMAN |
| Credential | M.D. |
| Practice Address |
724 Deaver St Springdale AR 72764-5356 |
| Practice Telephone | 4797513202 |
| Practice Fax Number | 4797562721 |
| Mailing Telephone | 4797513202 |
| Mailing Fax Number | 4797562721 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | F2067 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 106239001 | 05 |
| Street Address |
724 DEAVER ST |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-5356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861402265 | Robert A Petrino | Surgery | 724 Deaver St, Springdale, AR 72764-5356 | 2006-08-08 |
| 1821009218 | Northwest Arkansas Surgical Clinic, P.a. | Surgery | 724 Deaver St, Springdale, AR 72764-5356 | 2006-08-10 |
| 1487664892 | John David Alston | Surgery | 724 Deaver St, Springdale, AR 72764-5356 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265867493 | James W. Slezak, Jr., M.d., P.a. | Surgery | 116 Woodcliff Rd, Springdale, AR 72764-3691 | 2013-09-06 |
| 1861402265 | Robert A Petrino | Surgery | 724 Deaver St, Springdale, AR 72764-5356 | 2006-08-08 |
| 1316308570 | Robert Petrino, Md, Pa | Surgery | 601 W Maple Ave, Suite 511, Springdale, AR 72764-5335 | 2016-03-16 |
| 1427151497 | Minimal Access Surgery Inc | Surgery | 5230 Willow Creek Dr, Suite 201, Springdale, AR 72762-0876 | 2006-09-06 |
| 1821009218 | Northwest Arkansas Surgical Clinic, P.a. | Surgery | 724 Deaver St, Springdale, AR 72764-5356 | 2006-08-10 |
| 1487664892 | John David Alston | Surgery | 724 Deaver St, Springdale, AR 72764-5356 | 2006-08-08 |
| 1902812019 | John Henry Kendrick | Surgery | 5230 Willow Creek Dr, Suite 201, Springdale, AR 72762-0876 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962981928 | Baptist Heath Services | Surgery | 1500 Dodson Ave Ste 250, Fort Smith, AR 72901 | 2018-08-10 |
| 1932697877 | Nachtigal and Nachtigal General and Vascular Surgery, Pllc | Surgery | 230 Highway 5 N Ste 10, Mountain Home, AR 72653-3013 | 2018-04-26 |
| 1982108056 | Anthony T Manning Md Pllc | Surgery | 525 Western Ave Ste 203, Conway, AR 72034-4980 | 2018-03-22 |
| 1952840555 | Arkansas Health Group | Surgery | 1703 N Buerkle St Ste 4, Stuttgart, AR 72160-3153 | 2017-02-15 |
| 1295154789 | Nolan R Bruce | Surgery | 4301 W Markham St # 520-1, Little Rock, AR 72205-7101 | 2014-04-10 |
| 1164846887 | Northwest Arkansas Breast Care Specialists, Ltd. | Surgery | 701 S Horsebarn Rd, Suite 100, Rogers, AR 72758-8737 | 2014-02-17 |
| 1366888711 | Raj Patel | Surgery | 4100 Outpatient Cirlce, 616, Little Rock, AR 72205 | 2013-05-13 |
| 1386987766 | Rebecca Empting Bittenbinder | Surgery | 400 Jack Stephens Dr Fl 2, Little Rock, AR 72205 | 2013-04-03 |
| 1164763918 | Cynthia J Amram | Surgery | 3015 E Joyce Blvd, Fayetteville, AR 72703-4526 | 2013-03-04 |
| 1164772323 | Marco Vinicio Medina-zea | Surgery | 1 Mercy Ln Ste 201, Hot Springs, AR 71913-6457 | 2012-09-14 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
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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.