NPIMap

Organization Active NPI

Martin Knee and Sports Medicine Center, PA

Doing business as Martin Orthopedics

  • Orthopaedic Surgery Physician
  • North Little Rock, AR
National Provider Identifier
1396284436
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MARTIN KNEE AND SPORTS MEDICINE CENTER, PA
Doing business as
Martin Orthopedics
Practice address
2504 McCain Blvd Ste 101
North Little Rock, AR 72116-7669
Phone
(501) 975-5633
Fax
(501) 526-4437
NPI assigned
Feb 22, 2017
Last updated
Feb 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Kenneth A Martin, MDNPI 1699730689
Title
President
Phone
(501) 975-5633

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0114X
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X

Addresses

Primary practice location

2504 McCain Blvd Ste 101
North Little Rock, AR 72116-7669

Mailing address

2504 McCain Blvd Ste 101
North Little Rock, AR 72116-7669
Phone (501) 975-5633

Other names 1

  • Martin Orthopedics Doing business as

National Provider Directory

National Provider Directory

Locations

2504 McCain Blvd
Ste 101
North Little Rock, AR 72116
Phone (501) 406-7640

Practitioners & affiliated clinicians

Practitioners 11

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": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1396284436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 MCCAIN BLVD STE 101",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167669",
            "telephone_number": "501-975-5633",
            "fax_number": "501-526-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 MCCAIN BLVD STE 101",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167669",
            "telephone_number": "501-975-5633",
            "fax_number": "501-526-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN KNEE AND SPORTS MEDICINE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-975-5633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.