Arkansas Center for Arthroscopy, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ARKANSAS CENTER FOR ARTHROSCOPY, PA

Practice address

1504 SE 28TH St
Bentonville, AR 72712-3988

Phone

(479) 273-1111

Fax

(479) 273-1255

NPI assigned

Jan 2, 2007

Last updated

Mar 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher P Dougherty, DONPI 1124012000

Title

President

Phone

(479) 273-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

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.

• Christopher P Dougherty, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bentonville, AR
  • NPI 1124012000
  Medicare reassignment NPD Authorized official
• Steven Boyd Johnson, PA-C

  • Medical Physician Assistant
  • Bentonville, AR
  • NPI 1104101716
  Medicare reassignment

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1568529295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SE 28TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123988",
            "telephone_number": "479-273-1111",
            "fax_number": "479-273-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SE 28TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123988",
            "telephone_number": "479-273-1111",
            "fax_number": "479-273-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS CENTER FOR ARTHROSCOPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-273-1111",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1612771002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arcare (ARcare201)
• Arcare (ARcare33)
• Arcare (ARcare Pharmacy 09)
• Graeme C.M. Archer, MD
• Arkansas Center for Arthroscopy
• Arkansas Compounding, LLC
• Arkansas Connections Academy, Inc.
• Arkansas Dental Health Professionals, Mongrain, P.a. (Integrated Dentistry)
• Arkansas Liver and Gastroenterology, P.a. (The Liver Care Clinic)
• Arkansas Medical & Wellness PA

• Orthopaedic Surgery Physician in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Orthopaedic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.