Advanced O & P Techniques, PA
Organization Active NPI Clinic/Center · Conway, AR
NPI 1043455256 · NPPES record last updated Jul 28, 2009
Key facts
- NPI
- 1043455256
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 261Q00000X (AR)
- Legal business name
- ADVANCED O & P TECHNIQUES, PA
- Practice address
- 705 Donaghey Ave
Conway, AR 72034-5107 - Phone
- (501) 548-6288
- Fax
- (501) 513-1890
- NPI assigned
- Dec 3, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVANCED O & P TECHNIQUES, PA
Authorized official
- Name
- Mr. Havis Kent Rinehart, CPO,BOC,C.PED.,FAAOP
- Title
- President
- Phone
- (870) 534-1900
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Advanced Op Techniques
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 261Q00000X | AR | Yes |
Addresses
Primary practice location
705 Donaghey Ave
Conway, AR 72034-5107
Mailing address
2425 W 28TH Ave
Pine Bluff, AR 71603-5051
Phone (870) 534-1900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134833716 | Medicaid | AR | |
| 49568 | Other | AR | BCBS |
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.