ARKANSAS BACK INSTITUTE PA (NPI# 1407068562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407068562 |
| Entity Type | Organization |
| Organization Name | ARKANSAS BACK INSTITUTE PA |
| Practice Address |
2425 Dave Ward Drive Suite 201 Conway AR 72034 |
| Mailing Address |
Po Box 10660 Conway AR 72034-0011 |
| Practice Telephone | 5013297246 |
| Practice Fax Number | 5013293900 |
| Mailing Telephone | 5013297246 |
| Mailing Fax Number | 5013293900 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | DAVID MICHAEL ARNOLD (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5013297246 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
N-7842 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
2425 DAVE WARD DRIVE SUITE 201 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003986514 | William L. Mills | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-09 |
| 1235302969 | Erkan Alci | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2008-04-02 |
| 1407811169 | David Michael Arnold | Orthopaedic Surgery | 2425 Dave Ward Dr, Suite 201, Conway, AR 72034-8686 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609419266 | North Arkansas Orthopedic & Surgery Associates | Orthopaedic Surgery | 1507 Linwood Dr Ste A, Paragould, AR 72450-5818 | 2019-10-25 |
| 1558921320 | Sark Care of Ar, LLC | Orthopaedic Surgery | 900 Se 5th St Ste 22, Bentonville, AR 72712-6090 | 2019-06-14 |
| 1265614309 | Travis D Richardson, Do, Pllc | Orthopaedic Surgery | 555 W 6th St, Mountain Home, AR 72653-3409 | 2007-11-30 |
| 1932242153 | Jared Justin Seale | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2007-02-15 |
| 1598743759 | Richard D Peek | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2006-01-06 |
| 1801874078 | Edward H Saer IIi | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2006-01-06 |
| 1952389280 | Wayne L Bruffett | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2006-01-06 |
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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.