NPIMap

Individual provider Active NPI

Jeffery Deoin Angel, M.D.

  • Orthopaedic Surgery Physician
  • Batesville, AR
National Provider Identifier
1689630352
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C-7451 Issued in AR
Practice address
501 Virginia Dr
Suite C
Batesville, AR 72501-7331
Phone
(870) 793-2371
Fax
(870) 793-7585
NPI assigned
Apr 21, 2006
Last updated
Feb 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C-7451 AR Primary

Addresses

Primary practice location

501 Virginia Dr
Suite C
Batesville, AR 72501-7331

Mailing address

501 Virginia Dr
Suite C
Batesville, AR 72501-7331
Phone (870) 793-2371

Other names 1

  • Jeffery Deoin Angel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071129000736 AR Practitioner - Orthopedic Surgery 6103892229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc.Group PAC ID 0143134270, 190 clinicians

Practice addresses (Care Compare)

1690 Harrison St
WRMC Orthopaedic and Sports Medicine Clinic
Batesville, AR 72501-7317
Phone (870) 793-2371

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement25
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)22
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C-7451ARMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. Orthopaedic Surgery CurrentSince Feb 1, 2015 Accepting new patients
White River Health System, Inc Current Accepting new patients
White River Health System, Inc. CurrentSince Feb 1, 2015 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1690 Harrison St
Batesville, AR 72501

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

501 Virginia Dr
Batesville, AR 72501
Phone (501) 698-1846

501 Virginia Dr
Ste C
Batesville, AR 72501

Organizations & group practices 5

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

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1689630352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VIRGINIA DR",
            "address_2": "SUITE C",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017331",
            "telephone_number": "870-793-2371",
            "fax_number": "870-793-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VIRGINIA DR",
            "address_2": "SUITE C",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017331",
            "telephone_number": "870-793-2371",
            "fax_number": "870-793-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGEL",
        "first_name": "JEFFERY",
        "middle_name": "DEOIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "C-7451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFERY",
            "last_name": "ANGEL",
            "middle_name": "DEOIN",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.