UNIVERSITY OF ARKANSAS AT PINE BLUFF (NPI# 1043612625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043612625 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF ARKANSAS AT PINE BLUFF |
| Other Organization Name | UAPB SPORTS MEDICINE AND REHABILITATION |
| Practice Address |
1200 University Dr Pine Bluff AR 71601-2780 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 8705757230 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |
| Authorized Official Name | T.C. SHELTON (HEAD ATHLETICS TRAINER) |
| Authorized Official Telephone | 8705757230 |
| 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 |
|---|---|
| UAPB Sports Medicine and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
1200 UNIVERSITY DR |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71601-2780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073631 | Christy Nicole Reed | Nurse Practitioner | 1200 University Dr, Pine Bluff, AR 71601-2780 | 2020-11-05 |
| 1619328366 | Robert Steven Long | Specialist/Technologist | 1200 University Dr, 4891, Pine Bluff, AR 71601-2780 | 2016-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162863 | Kb's Adult Health Day Care Center | Clinic/Center | 2911 South Market Street, Pine Bluff, AR 71601 | 2020-10-19 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1407489081 | Katherine Bolden | Clinic/Center | 2911 East Market Street, Pine Bluff, AR 71601 | 2020-02-21 |
| 1851836829 | Rocky Mountain Holdings, LLC | Ambulance | 613b Hangar Row, Pine Bluff, AR 71601 | 2016-12-30 |
| 1316324494 | Nora Elizabeth Horton | Specialist/Technologist | 2003 University Drive, Suite 2, Pine Bluff, Ar, AR 71601 | 2015-04-28 |
| 1780003665 | Sameer R. Shelat | Internal Medicine | 4125, Rhinehart Road, Pine Bluff, AR 71601 | 2014-04-08 |
| 1700150471 | Community Empowerment Council, Inc. | Social Worker | 5830 Hwy 65 South, Pine Bluff, AR 71601 | 2012-02-28 |
| 1922243807 | The Pine Bluff Group, Pllc | Chiropractor | 2102 S. Olive St., Pine Bluff, AR 71601 | 2008-12-08 |
| 1053571711 | Jefferson Comprehensive Care System Inc | Clinic/Center | 1101 Tennssee, Pine Bluff, AR 71601 | 2008-06-16 |
| 1144404799 | The P.a.t. (people Advocating Transition) Center | Counselor | 620 South Laurel, Pine Bluff, AR 71601 | 2007-12-18 |
| Find all providers in zip 71601 | ||||
| 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 |
|---|---|---|---|---|
| 1578705414 | John O Lytle Md Pa | Orthopaedic Surgery | 1609 W 40th Ave Ste 501, Pine Bluff, AR 71603-6364 | 2009-03-24 |
| 1275841306 | Jefferson Hospital Association, Inc. | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2010-09-23 |
| 1124330840 | James Alan Pollard Md Pa | Orthopaedic Surgery | 1609 W 40th Ave Ste 501, Pine Bluff, AR 71603-6364 | 2010-07-10 |
| 1316184815 | Charles A. Clark, Md, Pa | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2009-01-21 |
| 1770750176 | Roy Louis Burrell | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2008-05-14 |
| 1265497408 | South Arkansas Orthopaedic Center | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6329 | 2006-04-19 |
| 1891780219 | John Ora Lytle | Orthopaedic Surgery | 1609 W 40th Ave, Ste 501, Pine Bluff, AR 71603-6329 | 2005-09-12 |
| 1043205461 | Charles A Clark | Orthopaedic Surgery | 1609 W 40th Ave, Ste 501, Pine Bluff, AR 71603-6329 | 2005-09-12 |
| 1992799555 | James Alan Pollard | Orthopaedic Surgery | 1609 W 40th Ave, Ste 501, Pine Bluff, AR 71603-6329 | 2005-09-09 |
| 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 |
| 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 |
| 1497056998 | Jerry Lynn Thomas | Orthopaedic Surgery | 39 Quercus Cir, Little Rock, AR 72223-5159 | 2010-11-15 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71601 |
Please comment or provide details below to improve the information on UNIVERSITY OF ARKANSAS AT PINE BLUFF.
| 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.