Organization Active NPI

Orthopaedic Surgeon, P.a.

  • Specialist
  • Russellville, AR
National Provider Identifier
1255352027
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C4546 Issued in AR
Legal business name
ORTHOPAEDIC SURGEON, P.A.
Practice address
2504 W Main St Ste a
Russellville, AR 72801-2536
Phone
(479) 968-3200
NPI assigned
Jul 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ted Honghiran, M.D.NPI 1407875453
Title
Doctor/Owner
Phone
(479) 968-3200

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
Specialist 174400000X C4546 AR Primary

Addresses

Primary practice location

2504 W Main St Ste a
Russellville, AR 72801-2536

Mailing address

PO Box 9276
Russellville, AR 72811-9276
Phone (479) 968-3200

Other names 1

  • ORTHOPAEDIC CLINIC & SPORTS MEDICINE Other name

National Provider Directory

National Provider Directory

Locations

2504 W Main St
Ste A
Russellville, AR 72801
Phone (479) 964-3278

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255352027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9276",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119276",
            "telephone_number": "479-968-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 W MAIN ST STE A",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012536",
            "telephone_number": "479-968-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGEON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HONGHIRAN",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "479-968-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "C4546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOPAEDIC CLINIC & SPORTS MEDICINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.