David M Street, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PT2020058 Issued in AR

Practice address

2010 Active Way
Benton, AR 72022-9267

Phone

(501) 315-0984

Fax

(501) 847-1405

NPI assigned

Oct 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saline Clinics LLCGroup PAC ID 0547553836, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saline Memorial Hospital Hospital, Benton, AR, CCN 040084

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.street.1@16686.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saline Clinics LLC

  • Gastroenterology Physician
  • Benton, AR
  • NPI 1447609367
  Medicare reassignment Care Compare group
• Saline Orthopedic Group P a

  • Orthopaedic Surgery Physician
  • Benton, AR
  • NPI 1093825002
  Medicare reassignment
• Saline Orthopedic Group P a

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Benton, AR
  • NPI 1588348783
  NPD
• Central Arkansas Spine Specialists

  • Orthopaedic Surgery Physician
  • Benton, AR
  • NPI 1538522347
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saline Hospital LLC

  • General Acute Care Hospital
  • Benton, AR
  • NPI 1235111071
  Care Compare affiliation

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1487252755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ACTIVE WAY",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720229267",
            "telephone_number": "501-315-0984",
            "fax_number": "501-847-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 ACTIVE WAY",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720229267",
            "telephone_number": "501-315-0984",
            "fax_number": "501-847-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AR",
            "license": "PT2020058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE LICENSE",
            "identifier": "PT2020-058",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.arboneandjoint.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "2010 Active Way",
            "city": "Benton",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720229267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheldon Stone, RECOVERY ASSISTANT
• Stoneybrook Health Services
• Stoneybrook Healthcare & Rehab, LLC
• Meredith Anne Storie
• Sarah Storts, PEER SPECIALIST
• David Julian Streett, M.D.
• Anna Caroline Strickland, M.S., CF-SLP
• Lee Strickland
• Marion Halbrook Strickland, MS CCC SLP
• Chad James Strike, LCSW

• Surgical Physician Assistant in Benton, AR
• Providers in Benton, AR by specialty
• Surgical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.