DR. JAY M LIPKE (NPI# 1083606933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083606933 |
| Entity Type | Individual |
| Full Name | DR. JAY M LIPKE |
| Credential | M.D. |
| Practice Address |
800 Fair Park Blvd Little Rock AR 72204 |
| Mailing Address |
800 Fair Park Blvd Little Rock AR 72204-1720 |
| Practice Telephone | 5016046900 |
| Mailing Telephone | 5019782623 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2019-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | R2399 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 104419001 | 05 |
| Street Address |
800 FAIR PARK BLVD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173645 | Tristan Jenkins | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-29 |
| 1386242899 | Payton Rae Ransom | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-16 |
| 1942825476 | Bryce Bossin | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-06-10 |
| 1922658566 | Victoria Caples | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-09-16 |
| 1457818353 | Kala Carol Hart | Nurse Practitioner | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-27 |
| 1023575420 | Faith Marquardt | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-22 |
| 1346706892 | Christopher Allen Brynell | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-20 |
| 1043776099 | Lauren Abigail Rainwater | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-14 |
| 1073080255 | John Joseph Head | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2018-10-25 |
| 1619471885 | Maggie J Brown | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204 | 2018-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| 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 |
|---|---|---|---|---|
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1497056998 | Jerry Lynn Thomas | Orthopaedic Surgery | 39 Quercus Cir, Little Rock, AR 72223-5159 | 2010-11-15 |
| 1770622441 | Joel Nicholas Smith | Orthopaedic Surgery | 5320 W Markham St, Little Rock, AR 72205-3528 | 2007-02-06 |
| 1003906520 | Ashley Sloan Ross | Orthopaedic Surgery | 4700 West 7th Street, 112/lr, Little Rock, AR 72205-5484 | 2006-10-13 |
| 1497844849 | Laurie Olbrich Hughes | Orthopaedic Surgery | 46 Kings Arms Rd, Little Rock, AR 72227-2120 | 2006-10-12 |
| 1144238841 | Pinnacle Orthopedics P.a. | Orthopaedic Surgery | 13100 Chenal Parkway, Little Rock, AR 72211-5214 | 2006-08-04 |
| 1437116787 | William Franklin Hefley Jr. | Orthopaedic Surgery | 5 St Vincent Circle, Ste 100, Little Rock, AR 72205 | 2006-04-28 |
| 1699730689 | Kenneth Andrew Martin | Orthopaedic Surgery | 5320 W. Markham, Little Rock, AR 72205 | 2006-04-20 |
| 1457339715 | Richard E Mccarthy | Orthopaedic Surgery | 1 Childrens Way # 854, Little Rock, AR 72202-3500 | 2006-01-06 |
| 1841276169 | Charles Lowry Barnes | Orthopaedic Surgery | 2 Shackleford West Blvd, Little Rock, AR 72211-3755 | 2005-12-19 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.