RODGER C DICKINSON JR. (NPI# 1134190697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134190697 |
| Entity Type | Individual |
| Full Name | RODGER C DICKINSON JR. |
| Credential | M.D. |
| Practice Address |
1504 Se 28th St Bentonville AR 72712-3988 |
| Practice Telephone | 4792731111 |
| Practice Fax Number | 4792731255 |
| Mailing Telephone | 4792731111 |
| Mailing Fax Number | 4792731255 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2009-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | C4563 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 126591001 | 05 | |
| MO | 207996307 | 05 |
| Street Address |
1504 SE 28TH ST |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-3988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124012000 | Christopher P Dougherty | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2005-09-07 |
| 1154938173 | James R Boyle Md, LLC | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2020-09-24 |
| 1518403252 | Sti Work Care | Mechanotherapist | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2017-01-18 |
| 1386098101 | Innovative Orthopedic Solutions, Pllc | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2016-04-18 |
| 1316230261 | Maline Orthopedics, Pllc | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2011-05-25 |
| 1609105253 | Clint Lee Anglin | Specialist/Technologist | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2009-12-10 |
| 1639339112 | James Richard Boyle Jr. | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2008-06-10 |
| 1700943636 | Mckenzie Orthopedic and Sports Clinic | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2007-01-02 |
| 1568529295 | Arkansas Center for Arthroscopy, Pa | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2007-01-02 |
| 1356408298 | Rodger C. Dickinson, Jr., M.d., Pa | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| 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 |
|---|---|---|---|---|
| 1528173697 | Gannon B Randolph | Orthopaedic Surgery | 1800 Se Moberly Ln, Bentonville, AR 72712-7017 | 2006-08-20 |
| 1154938173 | James R Boyle Md, LLC | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2020-09-24 |
| 1598325367 | Oark Care of Ar, LLC | Orthopaedic Surgery | 900 Se 5th St Ste 22, Bentonville, AR 72712-6090 | 2019-06-14 |
| 1386098101 | Innovative Orthopedic Solutions, Pllc | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2016-04-18 |
| 1316230261 | Maline Orthopedics, Pllc | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2011-05-25 |
| 1821319856 | Robert Angus Macleod | Orthopaedic Surgery | 1800 Se Moberly Ln, Ste 4, Bentonville, AR 72712-7017 | 2010-06-14 |
| 1639339112 | James Richard Boyle Jr. | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2008-06-10 |
| 1700943636 | Mckenzie Orthopedic and Sports Clinic | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2007-01-02 |
| 1568529295 | Arkansas Center for Arthroscopy, Pa | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2007-01-02 |
| 1356408298 | Rodger C. Dickinson, Jr., M.d., Pa | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2007-01-02 |
| Find all providers in BENTONVILLE | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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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.