GREGG L MASSANELLI MDPA (NPI# 1740751981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740751981 |
| Entity Type | Organization |
| Organization Name | GREGG L MASSANELLI MDPA |
| Practice Address |
2700 Vine St El Dorado AR 71730-6700 |
| Practice Telephone | 8708621144 |
| Practice Fax Number | 8708818154 |
| Mailing Telephone | 8708621144 |
| Mailing Fax Number | 8708818154 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Authorized Official Name | GREGG L MASSANELLI (PHYSICIAN) |
| Authorized Official Telephone | 8708621144 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
2700 VINE ST |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732335 | Charles D Daniels | Specialist | 2700 Vine St, El Dorado, AR 71730-6700 | 2005-10-04 |
| 1508376690 | Kathryn Marie Inman | Physical Therapist | 2700 Vine St, El Dorado, AR 71730-6700 | 2017-10-03 |
| 1932624244 | Randall W Jerry | Physical Therapist | 2700 Vine St, El Dorado, AR 71730-6700 | 2017-08-08 |
| 1225576606 | Jonathan Randle | Physical Therapist | 2700 Vine St, El Dorado, AR 71730-6700 | 2017-02-06 |
| 1225339039 | Rebecca Ann Davis | Occupational Therapist | 2700 Vine St, Attn: Pt Department, El Dorado, AR 71730-6700 | 2010-11-10 |
| 1639348725 | Laura Lea Stevens | Specialist | 2700 Vine St, El Dorado, AR 71730-6700 | 2008-02-22 |
| 1871778167 | Empicare, Inc | Durable Medical Equipment & Medical Supplies | 2700 Vine St, Suite A, El Dorado, AR 71730-6700 | 2008-01-04 |
| 1528247418 | Sharon K Hanry | Occupational Therapist | 2700 Vine St, El Dorado, AR 71730-6700 | 2007-10-29 |
| 1265654727 | Sarah Saffold | Specialist | 2700 Vine St, El Dorado, AR 71730-6700 | 2007-05-03 |
| 1407845951 | South Arkansas Orthopaedics and Sports Medicine Center Pllc | Specialist | 2700 Vine St, El Dorado, AR 71730-6700 | 2005-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| 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 |
|---|---|---|---|---|
| 1922431329 | Susan B. Allen Memorial Hospital | Orthopaedic Surgery | 700 W Central Ave Ste 108, El Dorado, KS 67042-2187 | 2013-08-21 |
| 1629003223 | Gerard Fernandez Librodo | Orthopaedic Surgery | 700 W Central Ave Ste 105, El Dorado, KS 67042-2187 | 2006-07-11 |
| 1013954817 | D'orsay D. Bryant, IIi, Md, Pa | Orthopaedic Surgery | 619 Thompson Ave, El Dorado, AR 71730-4557 | 2006-06-01 |
| 1194247007 | Susan B. Allen Memorial Hospital | Orthopaedic Surgery | 700 W Central Ave Ste 105, El Dorado, KS 67042-2187 | 2017-07-12 |
| 1194256198 | Flint Hills Orthopaedics Pa | Orthopaedic Surgery | 700 W Central Ave, Suite 206, El Dorado, KS 67042-2184 | 2017-03-22 |
| 1609813401 | D'orsay D Bryant IIi | Orthopaedic Surgery | 619 Thompson Ave, El Dorado, AR 71730-4557 | 2006-06-01 |
| 1144212226 | Lawrence P Shank | Orthopaedic Surgery | 700 W Central Ave, Suite 108, El Dorado, KS 67042-2184 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790257442 | Samuel G. Meredith Md Pa | Orthopaedic Surgery | 1229 State Highway 77 Ste 1, Marion, AR 72364-9050 | 2018-12-19 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1043612625 | University of Arkansas At Pine Bluff | Orthopaedic Surgery | 1200 University Dr, Pine Bluff, AR 71601-2780 | 2014-09-25 |
| 1881959450 | Robert J. Tomlinson Md, Pa | Orthopaedic Surgery | 212 W. Monroe Ave., Ste A, Lowell, AR 72745 | 2012-07-10 |
| 1497023147 | Reeves Spine and Orthopedic,llc | Orthopaedic Surgery | 224 W. Erie, Harrison, AR 72601 | 2011-12-09 |
| 1578840237 | Bill T. Shanlever | Orthopaedic Surgery | 1103 Wilkins Ave, Jonesboro, AR 72401 | 2011-11-09 |
| 1376828954 | Cooper Clinic, P.a. | Orthopaedic Surgery | 1500 Dodson Ave Ste 285, Fort Smith, AR 72901-5182 | 2011-10-14 |
| 1164700068 | Nwa Orthopaedic Consulting, Pa | Orthopaedic Surgery | 161 W Van Asche Dr Ste 101, Fayetteville, AR 72703-4999 | 2011-07-26 |
| 1588954416 | Donald Claude Bailey | Orthopaedic Surgery | 500 Fairway Cir Apt G, Springdale, AR 72764-1026 | 2011-04-12 |
| 1700183548 | Robert G Bebout Md | Orthopaedic Surgery | 1804 Rannoch Trce, Fort Smith, AR 72908-0971 | 2011-02-14 |
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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.