Individual provider Active NPI

David Lynn Wassell, MD

  • Orthopaedic Surgery Physician
  • Stuttgart, AR
National Provider Identifier
1821057480
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E4743 Issued in AR
Practice address
1703 N Buerkle St
Stuttgart, AR 72160-3153
Phone
(870) 673-2511
Fax
(870) 673-2518
NPI assigned
Mar 22, 2006
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X E-4743 AR
Orthopaedic Surgery Physician 207X00000X E4743 AR Primary

Addresses

Primary practice location

1703 N Buerkle St
Stuttgart, AR 72160-3153

Mailing address

1703 N Buerkle St
Stuttgart, AR 72160-3153
Phone (870) 673-2511

Other identifiers 1

IdentifierTypeStateIssuer
161267001MedicaidAR

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060927000523 AR Practitioner - Orthopedic Surgery 1254336134 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4743ARMDOrthopaedic Surgery Physician
E4743ARMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Single Specialty CurrentSince Aug 4, 2014 Accepting new patients
Arkansas Health Group Single Specialty CurrentSince Aug 4, 2014 Accepting new patients
Orthoarkansas Physical, Occupational and Sports Therapy Past Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1703 N Buerkle St
Stuttgart, AR 72160
Phone (870) 674-6301

1703 N Buerkle St
Ste 1
Stuttgart, AR 72160
Phone (870) 673-2511

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1821057480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 N BUERKLE ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721603153",
            "telephone_number": "870-673-2511",
            "fax_number": "870-673-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 N BUERKLE ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721603153",
            "telephone_number": "870-673-2511",
            "fax_number": "870-673-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSELL",
        "first_name": "DAVID",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E-4743",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E4743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161267001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuttgart, AR

Sources for this page

Verify at the official NPI Registry.