DR. BENJAMIN M DODGE (NPI# 1922090471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922090471 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN M DODGE |
| Credential | M.D. |
| Practice Address |
550club Lane Suite 1 Conway AR 72034-3681 |
| Mailing Address |
550 Club Ln Suite 1 Conway AR 72034-3681 |
| Practice Telephone | 5013291510 |
| Practice Fax Number | 5013295697 |
| Mailing Telephone | 5013291510 |
| Mailing Fax Number | 5013295697 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2007-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | C7472 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 123211001 | 05 | |
| AR | QUALCHOICE | 12593000000 | 01 |
| AR | BCBS | 5J081 | 01 |
| AR | RR MEDICARE | 200016131 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932556826 | Benjamin Dodge | Family Medicine | Fort Defiance Indian Hospital Board Inc., Corner of Routes N12 & N7, Fort Defiance, AZ 86504 | 2016-05-20 |
| Street Address |
550CLUB LANE SUITE 1 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-3681 |
| 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 | 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 |
| 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 |
| 1306910526 | Arthur J Preslar IIi | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-20 |
| 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.