Center for Regenerative Medicine PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CENTER FOR REGENERATIVE MEDICINE PA

Doing business as

Clearstone Medical Center

Practice address

3525 Highway 5 N Ste 200
Bryant, AR 72019-9092

Phone

(501) 333-6654

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Stipanuk, MDNPI 1669459905

Title

Incorporater/Organizer/Owner

Phone

(870) 201-0534

Specialties & licenses 1

Addresses

Other names 1

• Clearstone Medical Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald S Stipanuk, MD

  • Internal Medicine Physician
  • Jonesboro, AR
  • NPI 1669459905
  NPD (past) Authorized official

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1093364820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 HIGHWAY 5 N STE 200",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720199092",
            "telephone_number": "501-333-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 HIGHWAY 5 N STE 200",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720199092",
            "telephone_number": "501-333-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR REGENERATIVE MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "STIPANUK",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "INCORPORATER/ORGANIZER/OWNER",
        "authorized_official_telephone_number": "870-201-0534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearstone Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Grace Castleberry
• Sara E Cates
• Jerry N Cavaneau, M.D.
• Yara Guadalupe Cazares Lopez
• Corinna Mishal Celoso, PHARMD
• Central Arkansas Family Practice
• Central Arkansas Treatment Services, LLC
• Central Arkansas Vision Care, P.a.
• Leslie Carol Chambers, APRN
• Blake Chandler, DMD

• General Practice Physician in Bryant, AR
• Providers in Bryant, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.