Organization Active NPI

Western Arkansas Orthopedic Clinic,PLLC

  • Orthopaedic Surgery Physician
  • Van Buren, AR
National Provider Identifier
1790187573
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E4554 Issued in AR
Legal business name
WESTERN ARKANSAS ORTHOPEDIC CLINIC,PLLC
Practice address
2010 Chestnut St Ste F
Van Buren, AR 72956-5340
Phone
(479) 262-2504
Fax
(479) 262-2509
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Edward Rhomberg, MD
Title
Owner
Phone
(479) 262-2504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X E4554 AR Primary

Addresses

Primary practice location

2010 Chestnut St Ste F
Van Buren, AR 72956-5340

Mailing address

2010 Chestnut St Ste F
Van Buren, AR 72956-5340
Phone (479) 262-2504

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1790187573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CHESTNUT ST STE F",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565340",
            "telephone_number": "479-262-2504",
            "fax_number": "479-262-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CHESTNUT ST STE F",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565340",
            "telephone_number": "479-262-2504",
            "fax_number": "479-262-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ARKANSAS ORTHOPEDIC CLINIC,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "RHOMBERG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-262-2504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E4554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.