ARKANSAS SURGICAL HOSPITAL, LLC (NPI# 1417439944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417439944 |
| Entity Type | Organization |
| Organization Name | ARKANSAS SURGICAL HOSPITAL, LLC |
| Other Organization Name | ARKANSAS SURGICAL HOSPITAL ORTHOPEDIC CLINIC |
| Practice Address |
800 Exchange Ave Ste 102b Conway AR 72032-7833 |
| Mailing Address |
5201 Northshore Dr North Little Rock AR 72118-5312 |
| Practice Telephone | 5015046994 |
| Practice Fax Number | 5015046985 |
| Mailing Telephone | 5017488089 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | CHRISTOPHER BRIAN FOWLER (COO) |
| Authorized Official Telephone | 5017488089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Arkansas Surgical Hospital Orthopedic Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073088068 | Arkansas Surgical Hospital, LLC | Durable Medical Equipment & Medical Supplies | 605 Dave Ward Dr Ste 104, Conway, AR 72034-7138 | 2018-10-05 |
| 1942260609 | Arkansas Surgical Hospital, LLC | General Acute Care Hospital | 5201 Northshore Drive, North Little Rock, AR 72118-5312 | 2006-03-27 |
| 1407466626 | Arkansas Surgical Hospital, LLC | Family Medicine | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2020-08-03 |
| Street Address |
800 EXCHANGE AVE STE 102B |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-7833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992966295 | Brent Martell Lawrence | Orthopaedic Surgery | 800 Exchange Ave Ste 102b, Conway, AR 72032-7833 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| 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 |
|---|---|---|---|---|
| 1992966295 | Brent Martell Lawrence | Orthopaedic Surgery | 800 Exchange Ave Ste 102b, Conway, AR 72032-7833 | 2008-06-19 |
| 1922090471 | Benjamin M Dodge | Orthopaedic Surgery | 550club Lane, Suite 1, Conway, AR 72034-3681 | 2005-08-19 |
| 1073505541 | Robert F Mccarron | Orthopaedic Surgery | 550 Club Lane, Suite 1, Conway, AR 72034-3681 | 2005-08-19 |
| 1508858036 | Thomas S Roberts | Orthopaedic Surgery | 525 Western Ave Ste 302, Conway, AR 72034 | 2005-08-19 |
| 1669973517 | Orthosc LLC | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526 | 2018-02-26 |
| 1851600753 | Todd Tupis | Orthopaedic Surgery | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2010-09-27 |
| 1144541210 | James Head | Orthopaedic Surgery | 550 Club Ln, Conway, AR 72034-3681 | 2010-06-11 |
| 1073771671 | James T Howell Jr. | Orthopaedic Surgery | 550 Club Lane, Suite 1, Conway, AR 72034 | 2008-05-30 |
| 1245402924 | Peter N Ramsey | Orthopaedic Surgery | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2008-04-02 |
| 1023212024 | John Christopher Gayton | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2007-06-13 |
| Find all providers in CONWAY | ||||
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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.