MCKENZIE ORTHOPEDIC AND SPORTS CLINIC


Address: 1504 Se 28th St, Bentonville, AR 72712-3988
Phone: 4792731111

MCKENZIE ORTHOPEDIC AND SPORTS CLINIC (NPI# 1700943636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700943636
Entity Type Organization
Organization Name MCKENZIE ORTHOPEDIC AND SPORTS CLINIC
Practice Address 1504 Se 28th St
Bentonville
AR 72712-3988
Practice Telephone 4792731111
Mailing Telephone 4792731111
Enumeration Date 2007-01-02
Last Update Date 2007-12-10
Authorized Official Name JAMES M MCKENZIE (PRESIDENT)
Authorized Official Telephone 4792731111
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR RAILROAD MEDICARE CS8254 01

Office Location

Street Address 1504 SE 28TH ST
City BENTONVILLE
State AR
Zip Code 72712-3988

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124012000 Christopher P Dougherty Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2005-09-07
1154938173 James R Boyle Md, LLC Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2020-09-24
1518403252 Sti Work Care Mechanotherapist 1504 Se 28th St, Bentonville, AR 72712-3988 2017-01-18
1386098101 Innovative Orthopedic Solutions, Pllc Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2016-04-18
1316230261 Maline Orthopedics, Pllc Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2011-05-25
1609105253 Clint Lee Anglin Specialist/Technologist 1504 Se 28th St, Bentonville, AR 72712-3988 2009-12-10
1639339112 James Richard Boyle Jr. Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2008-06-10
1568529295 Arkansas Center for Arthroscopy, Pa Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2007-01-02
1356408298 Rodger C. Dickinson, Jr., M.d., Pa Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2007-01-02
1275561516 Arkansas Center for Arthroscopy Specialist 1504 Se 28th St, Bentonville, AR 72712-3988 2006-06-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427662345 Bentonville Ambulatory Surgery Center, LLC Pain Medicine 2902 We Mid-cities Dr, Bentonville, AR 72712 2020-09-08
1942837059 Amy Crumpton Counselor 3504 Se Riveria Road, Bentonville, AR 72712 2020-03-26
1295361509 Unbridled Holdings LLC Physical Therapy Assistant 9900 Price Coffee Rd, Bentonville, AR 72712 2020-03-18
1649803552 Hanna Kathryn Baxendale Pediatrics 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 2020-02-19
1740746635 Meredith C Hodges Counselor 2508 Se 2oth St, Bentonville, AR 72712 2019-02-15
1609352566 Tripharma Inc Pharmacy 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 2018-07-13
1811406747 Upspring Therapy, LLC Counselor 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 2017-09-22
1023536836 Charlotte Yuvonne Hoyle Case Manager/Care Coordinator 2005 S.e Walton Blvd., Bentonville, AR 72712 2017-08-31
1508399502 Rosanna Nicole Rephan Nurse Practitioner 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 2017-04-06
1417305517 Charlotte Lennette Stephenson Behavioral Analyst 2005 S.e. Walton Blvd., Bentonville, AR 72712 2016-05-31
Find all providers in zip 72712

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528173697 Gannon B Randolph Orthopaedic Surgery 1800 Se Moberly Ln, Bentonville, AR 72712-7017 2006-08-20
1154938173 James R Boyle Md, LLC Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2020-09-24
1598325367 Oark Care of Ar, LLC Orthopaedic Surgery 900 Se 5th St Ste 22, Bentonville, AR 72712-6090 2019-06-14
1386098101 Innovative Orthopedic Solutions, Pllc Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2016-04-18
1316230261 Maline Orthopedics, Pllc Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2011-05-25
1821319856 Robert Angus Macleod Orthopaedic Surgery 1800 Se Moberly Ln, Ste 4, Bentonville, AR 72712-7017 2010-06-14
1639339112 James Richard Boyle Jr. Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2008-06-10
1568529295 Arkansas Center for Arthroscopy, Pa Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2007-01-02
1356408298 Rodger C. Dickinson, Jr., M.d., Pa Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2007-01-02
1447221908 James Marshall Mckenzie Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2006-01-31
Find all providers in BENTONVILLE

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City BENTONVILLE
Zip Code 72712

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Dataset Information

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.

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