University of Arkansas at Pine Bluff

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

UNIVERSITY OF ARKANSAS AT PINE BLUFF

Doing business as

UAPB Sports Medicine and Rehabilitation

Practice address

1200 University Dr
Pine Bluff, AR 71601-2780

Phone

(870) 575-7230

NPI assigned

Sep 25, 2014

Last updated

Sep 25, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

T.C. Shelton

Title

Head Athletics Trainer

Phone

(870) 575-7230

Specialties & licenses 1

Addresses

Other names 1

• UAPB Sports Medicine and Rehabilitation Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1043612625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995",
            "telephone_number": "800-555-9073",
            "fax_number": "972-367-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716012780",
            "telephone_number": "870-575-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ARKANSAS AT PINE BLUFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "T.C.",
        "authorized_official_title_or_position": "HEAD ATHLETICS TRAINER",
        "authorized_official_telephone_number": "870-575-7230"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UAPB Sports Medicine and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nannette Turner, LAC
• Stacy Lynette Turner, LPN
• Cainna Tyson, BA
• Uhs of Benton, Inc. (Rivendell Behavioral Health Services of Arkansas)
• Univ of Ark for Med Sciences Dba Ahec Family Practice Center Indep Lab
• University of Arkansas for Medical Sciences (Kids First Pine Bluff)
• University of Arkansas for Medical Sciences (Justiss Lindsey Clinic AHEC)
• University of Arkansas for Medical Sciences
• University of Arkansas Medical Sciences, Ahec Pine Bluff
• Ryan Arvin Vegafria Urbano, RPT

• Orthopaedic Surgery Physician in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Orthopaedic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.