Medical Park Orthopaedic Clinic, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MEDICAL PARK ORTHOPAEDIC CLINIC, P.A.

Practice address

501 Virginia Dr
Suite C
Batesville, AR 72501-7331

Phone

(870) 793-2371

Fax

(870) 793-7585

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Jeffery Deoin Angel, M.D.

Title

Secretary

Phone

(870) 793-2371

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1336105063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VIRGINIA DR",
            "address_2": "SUITE C",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017331",
            "telephone_number": "870-793-2371",
            "fax_number": "870-793-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VIRGINIA DR",
            "address_2": "SUITE C",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017331",
            "telephone_number": "870-793-2371",
            "fax_number": "870-793-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARK ORTHOPAEDIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "DEOIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "870-793-2371",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142894002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Batesville, AR
• Providers in Batesville, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.