NPIMap

Organization Active NPI

Saline Orthopedic Group P a

Doing business as Arkansas Bone & Joint

  • Orthopaedic Surgery Physician
  • Benton, AR
National Provider Identifier
1093825002
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SALINE ORTHOPEDIC GROUP P A
Doing business as
Arkansas Bone & Joint
Practice address
2010 Active Way
Benton, AR 72022-9267
Phone
(501) 315-0984
Fax
(501) 847-1405
NPI assigned
Aug 30, 2006
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Jerry J LorioNPI 1336123512
Title
Physician
Phone
(501) 315-0984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

2010 Active Way
Benton, AR 72022-9267

Mailing address

PO Box 3250
Benton, AR 72018-3250
Phone (501) 315-0984

Other identifiers 1

IdentifierTypeStateIssuer
105470002MedicaidAR

Other names 1

  • ARKANSAS BONE & JOINT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031103000555 AR Part B Supplier - Clinic/Group Practice 7911819479 Receives reassigned benefits from 11 practitioners
Practice locations: Benton, AR
O20100930039460 AR DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7911819479 Practice locations: Benton, AR

National Provider Directory

National Provider Directory

Locations

105 McNeil St
Benton, AR 72015
Phone (501) 315-0984

2010 Active Way
Bryant, AR 72022
Phone (501) 315-0984

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1093825002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3250",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720183250",
            "telephone_number": "501-315-0984",
            "fax_number": "501-847-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 ACTIVE WAY",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720229267",
            "telephone_number": "501-315-0984",
            "fax_number": "501-847-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE ORTHOPEDIC GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "LORIO",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "501-315-0984"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105470002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARKANSAS BONE & JOINT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARKANSAS BONE & JOINT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.