MR. KYLE R BLICKENSTAFF (NPI# 1316909690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316909690 |
| Entity Type | Individual |
| Full Name | MR. KYLE R BLICKENSTAFF |
| Credential | MD |
| Practice Address |
2900 Hawkins Dr Searcy AR 72143-4802 |
| Practice Telephone | 5012782808 |
| Practice Fax Number | 5012783001 |
| Mailing Telephone | 5012782808 |
| Mailing Fax Number | 5012783001 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | C7246 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891143673 | Kyle Blickenstaff | Rehabilitation Practitioner | 2700 E Lansing Dr, East Lansing, MI 48823-7754 | 2016-06-02 |
| Street Address |
2900 HAWKINS DR |
| City | SEARCY |
| State | AR |
| Zip Code | 72143-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230341 | Michael E Clevenger | Psychiatry & Neurology | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2005-07-29 |
| 1548872302 | Traci Lynne Spurlock | Nurse Practitioner | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-08-21 |
| 1376169110 | Majd Wess Sr. | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-06-17 |
| 1629607874 | Amanda Thomas | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-04-08 |
| 1588293062 | Leonard Bourgeois Jr. | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-04-06 |
| 1669001210 | Dayan E Sanchez | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-04-06 |
| 1245868157 | William Francis Barker | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-03-28 |
| 1689202566 | Diana Jung | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-03-27 |
| 1396372850 | Jin Yuan Wang | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-03-25 |
| 1306473681 | Eric Landa | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
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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 |
|---|---|---|---|---|
| 1932300530 | Justin Oswald Franz | Orthopaedic Surgery | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2007-05-30 |
| 1609892330 | General Orthopaedics and Adult Spine | Orthopaedic Surgery | 1120 S Main St, Searcy, AR 72143-7319 | 2006-07-14 |
| 1518906957 | General Orthopaedics and Spine Services | Orthopaedic Surgery | 1120 S Main St, Searcy, AR 72143-7319 | 2006-06-04 |
| 1205891801 | James R Mccoy | Orthopaedic Surgery | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2006-04-18 |
| 1275520843 | Thomas Elkins Day | Orthopaedic Surgery | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2005-09-29 |
| 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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| 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.