Orthosource, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHOSOURCE, INC.

Practice address

830B E Robinson Ave
Springdale, AR 72764-7113

Phone

(479) 872-1885

Fax

(479) 872-1889

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Hal Dejarnatt

Title

Owner / President

Phone

(479) 872-1885

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• KimLor Medical Other name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Orthosource, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Siloam Springs, AR
  • NPI 1578224218
  NPPES parent name

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1831112614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7510",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727667510",
            "telephone_number": "479-872-1885",
            "fax_number": "479-872-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830B E ROBINSON AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647113",
            "telephone_number": "479-872-1885",
            "fax_number": "479-872-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "DEJARNATT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HAL",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "479-872-1885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AR",
            "license": "011957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161293716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KimLor Medical",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "KimLor Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Optimize Wellness, LLC
• Kirsten Orange, PMHNP
• Joshua T Oriez, MSW
• Hayley Renee Ornstein, PHD
• Truphena Nyaboke Oroo
• Rachael Osborne, PLMSW
• Trisa Osborne, RN
• Grant Brennan Oserowsky, DDS
• Amanda N Osterman, LCSW
• Tiana Ottens

• Durable Medical Equipment & Medical Supplies in Springdale, AR
• Providers in Springdale, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.