DR. KEITH J BOLYARD (NPI# 1356319123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356319123 |
| Entity Type | Individual |
| Full Name | DR. KEITH J BOLYARD |
| Credential | M.D. |
| Practice Address |
3501 W. E. Knight Drive Fort Smith AR 72903-7994 |
| Mailing Address |
Po Box 11230 Fort Smith AR 72917-1230 |
| Practice Telephone | 4797096700 |
| Practice Fax Number | 4797096730 |
| Mailing Telephone | 4797096700 |
| Mailing Fax Number | 4797096730 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2016-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | C7460 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OKLAHOMA MEDICAID | 100024370A | 01 |
| AR | RAILROAD MEDICARE | 200038806 | 01 |
| AR | ARKANSAS BLUE CROSS | 5K982 | 01 |
| AR | AETNA | 5160690 | 01 |
| AR | USA MCO | 904213 | 01 |
| AR | CIGNA | 3117278 | 01 |
| AR | UNITED HEALTHCARE | 0920103 | 01 |
| AR | 138844001 | 05 | |
| AR | QUALCHOICE | 18030000000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174733794 | Keith Brian Bolyard | Pharmacist | 5500 Armstrong Rd, Battle Creek, MI 49015-1014 | 2007-05-23 |
| Street Address |
3501 W. E. KNIGHT DRIVE |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-7994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568659209 | Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 3501 W. E. Knight Drive, Fort Smith, AR 72917-1230 | 2007-09-26 |
| 1649384413 | Janet R. Canada | Nurse Practitioner | 3501 W. E. Knight Drive, Fort Smith, AR 72903-6248 | 2006-08-18 |
| 1407802234 | James Honey | Physical Therapist | 3501 W. E. Knight Drive, Fort Smith, AR 72903 | 2006-05-25 |
| 1538112974 | Jennifer Cauthen | Physical Therapist | 3501 W. E. Knight Drive, Fort Smith, AR 72903 | 2006-05-18 |
| 1477506566 | Brian Furr | Physical Therapist | 3501 W. E. Knight Drive, Fort Smith, AR 72917-1230 | 2006-05-18 |
| 1770533820 | Sharon Miesner | Occupational Therapist | 3501 W. E. Knight Drive, Fort Smith, AR 72903 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| 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 |
|---|---|---|---|---|
| 1376828954 | Cooper Clinic, P.a. | Orthopaedic Surgery | 1500 Dodson Ave Ste 285, Fort Smith, AR 72901-5182 | 2011-10-14 |
| 1700183548 | Robert G Bebout Md | Orthopaedic Surgery | 1804 Rannoch Trce, Fort Smith, AR 72908-0971 | 2011-02-14 |
| 1699091025 | Jeffrey K Evans Md | Orthopaedic Surgery | 5 Windhaven Dr, Fort Smith, AR 72903-2610 | 2010-04-09 |
| 1477879807 | Stephen A Heim | Orthopaedic Surgery | 4901 E Valley Rd, Fort Smith, AR 72903-3545 | 2010-04-09 |
| 1104006048 | Joe P Alberty Md | Orthopaedic Surgery | 7303 Rogers, Suite 418, Fort Smith, AR 72903-4104 | 2007-11-08 |
| 1730118290 | David W Sudbrink | Orthopaedic Surgery | 3501 W.e. Knight Drive, Fort Smith, AR 72903-6248 | 2006-06-30 |
| 1134197726 | Marvin E Mumme | Orthopaedic Surgery | 3501 We Knight Dr, Fort Smith, AR 72903-6248 | 2006-03-09 |
| 1538153879 | Claude L Martimbeau | Orthopaedic Surgery | 2713 South 74th Street, Suite 204, Fort Smith, AR 72903 | 2005-09-01 |
| 1316930530 | Joe P Alberty | Orthopaedic Surgery | 7303 Rogers Avenue, Suite 418, Fort Smith, AR 72903-4104 | 2005-08-23 |
| 1679052344 | Baptist Health Services | Orthopaedic Surgery | 1506 Dodson Ave, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on DR. KEITH J BOLYARD.
| 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.