Active NPI
Orthopaedic & Sports Medicine Clinic of Northwest Arkansas, P.a.
- Orthopaedic Surgery Physician
- Berryville, AR
National Provider Identifier
1376511238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
- Last updated
- Mar 27, 2008
- 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. Joseph Ricciardi, M.D.
- Title
- Vice President
- Phone
- (870) 423-3774
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
408 Orchard Dr
Berryville, AR 72616-4320
Mailing address
408 Orchard Dr
Berryville, AR 72616-4320
Phone (870) 423-3774
National Provider Directory
National Provider DirectoryPractitioners & 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
- Berryville, AR
- NPI 1053389726
NPI Registry JSON
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": []
}
Other providers in Berryville, AR
- John R. Nash, MD
- Michael S Nelson, D.D.S.
- North Arkansas Regional Medical Center (Narmc Berryville Clinic)
- Orrell Enterprises Incorporated (The Medicine Chest Pharmacy)
- 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 (St. John's Home Health Berryville)
- Ozarks Regions Health Systems (St Johns Regional Medical Rentals)
Sources for this page
- 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.