Ozark Orthopaedic And Sports Medicine

LBN: Ozark Orthopaedics, P.A.
Ozark Orthopaedic And Sports Medicine is an health care organization with primary practice located at 3317 N Wimberly Dr , Fayetteville AR 72703-4056. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Ambulatory Health Care Facilities / Urgent Care, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Ozark Orthopaedics, P.A. can be contacted via phone (479) 521-2752, or through Davenport, Tracy via phone (479) 587-3149.

Contact Information

Primary practice address
3317 N Wimberly Dr Fayetteville AR 72703-4056
Phone: (479) 521-2752
Fax: (479) 521-4603
Website:
Map and Directions
Authorized official contact:
Name: Davenport, Tracy
Phone: (479) 587-3149

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MC-0077 Arkansas
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1649210584
LBN Legal business name Ozark Orthopaedics, P.A.
DBA Doing business as Ozark Orthopaedic And Sports Medicine
Authorized official Davenport, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649210584 NPPES
Arkansas Other 205331716 MEDICAID DME FOR SILOAM SPRINGS CLINIC
Arkansas MEDICAID 106296002 MEDICAID DME FOR SILOAM SPRINGS CLINIC

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