Active NPI
Orthopaedic Surgeon, P.a.
- Specialist
- Russellville, AR
National Provider Identifier
1255352027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C4546
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ted Honghiran, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Russellville, AR
- NPI 1407875453
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.