Orthopaedic & Sports Medicine Clinic of Northwest Arkansas, P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPAEDIC & SPORTS MEDICINE CLINIC OF NORTHWEST ARKANSAS, P.A.

Practice address

408 Orchard Dr
Berryville, AR 72616-4320

Phone

(870) 423-3774

Fax

(870) 423-4670

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Ricciardi, M.D.

Title

Vice President

Phone

(870) 423-3774

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1376511238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 ORCHARD DR",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164320",
            "telephone_number": "870-423-3774",
            "fax_number": "870-423-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 ORCHARD DR",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164320",
            "telephone_number": "870-423-3774",
            "fax_number": "870-423-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC & SPORTS MEDICINE CLINIC OF NORTHWEST ARKANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "RICCIARDI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "870-423-3774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R. Nash, MD
• Michael S Nelson, D.D.S.
• North Arkansas Regional Medical Center
• Orrell Enterprises Incorporated
• Orthopaedic & Sports Medicine Clinic of Northwest Arkansas, P.a.
• Jomo Osborne, M.D
• Bradley James Owens, PD
• Ozark Physical Therapy Inc.
• Ozarks Regions Health Systems
• Ozarks Regions Health Systems

• All providers in Berryville, AR
• Orthopaedic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.