DR. CHARLES E PEARCE JR. (NPI# 1528046786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528046786 |
| Entity Type | Individual |
| Full Name | DR. CHARLES E PEARCE JR. |
| Credential | MD |
| Practice Address |
600 S Mckinley St Little Rock AR 72205-5202 |
| Practice Telephone | 5016633647 |
| Practice Fax Number | 5016669653 |
| Mailing Telephone | 5016633647 |
| Mailing Fax Number | 5016669653 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2014-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
C-6462 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 114549001 | 05 | |
| AR | MEDICARE PTAN | 51863C207 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053542076 | Charles Graham Pearce | Surgery | 303 E Chicago Ave # 3-713, Chicago, IL 60611-4296 | 2009-08-07 |
| Street Address |
600 S MCKINLEY ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467430702 | George Thomas Frazier Jr. | Orthopaedic Surgery | 600 S Mckinley St, Suite 200, Little Rock, AR 72205-5202 | 2006-01-06 |
| 1750822581 | Amber Renee Fontenot | Specialist/Technologist | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2017-03-13 |
| 1992246722 | Jennifer Braithwaite Wright | Specialist/Technologist | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2017-03-13 |
| 1538510490 | Melissa L Hulett | Nurse Practitioner | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2016-06-22 |
| 1902263148 | Trent M Tappan | Physician Assistant | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2016-01-19 |
| 1780041939 | Christina Byler | Physician Assistant | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2016-01-19 |
| 1841665510 | Samantha S Lawson | Physician Assistant | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2015-12-07 |
| 1962898460 | Robert Terrell IIi | Physician Assistant | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2015-04-10 |
| 1306242615 | Cortney Hapner | Occupational Therapist | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2014-11-13 |
| 1225446792 | Callie Paden | Specialist/Technologist | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2014-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144617465 | Michael Mcconnaughhay | Orthopaedic Surgery | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2015-04-24 |
| 1659508810 | Kenneth M Rosenzweig, Md, Pa | Orthopaedic Surgery | 8907 Kanis Rd, Suite 330, Little Rock, AR 72205-6449 | 2009-06-16 |
| 1740427830 | Martin Knee and Sports Medicine Center, Pa | Orthopaedic Surgery | 5320 W. Markham, Little Rock, AR 72205 | 2009-01-12 |
| 1013118025 | Kirk Allen Reynolds | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2007-05-29 |
| 1720178213 | John Vander Schilden | Orthopaedic Surgery | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| 1295776037 | Eric Houston Gordon | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2006-06-10 |
| 1144208224 | James C Tucker Jr. | Orthopaedic Surgery | 600 S Mckinley St, Suite 102, Little Rock, AR 72205 | 2006-01-09 |
| 1033197215 | Ethan J Schock | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124504030 | Interventional Cellular Medicine Centers, LLC | Orthopaedic Surgery | 593 Horsebarn Road, Suite 202, Rogers, AR 72758-7275 | 2018-07-13 |
| 1467612085 | Kent Allen Schnetzler | Orthopaedic Surgery | 400 Crestwood Circle, Suite L, Mena, AR 71953 | 2008-06-17 |
| 1124012000 | Christopher P Dougherty | Orthopaedic Surgery | 1504 Se 28th St, Bentonville, AR 72712-3988 | 2005-09-07 |
| 1730601451 | Conway Regional Medical Center, Inc. | Orthopaedic Surgery | 525 Western Ave Ste 302, Conway, AR 72034-4981 | 2017-07-14 |
| 1639571201 | Henderson State University | Orthopaedic Surgery | 1100 Henderson St, Hsu Box 7630, Arkadelphia, AR 71999-0001 | 2014-09-25 |
| 1154601805 | Dominic Amadeo Jacobelli | Orthopaedic Surgery | 1000 S 52nd St, Rogers, AR 72758 | 2011-08-26 |
| 1922387505 | White River Health System Inc | Orthopaedic Surgery | 2110 East Main, Mountain View, AR 72560 | 2011-08-12 |
| 1154556678 | Michael Todd Bogatch | Orthopaedic Surgery | 4000 Linwood Drive, Suite I, Paragould, AR 72450 | 2009-05-28 |
| 1134238793 | Gordon Troy Birk | Orthopaedic Surgery | 1900 Malvern Ave, Suite 301, Hot Springs, AR 71901-7759 | 2006-08-29 |
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.