Ozark Mountain Orthopedic Clinic, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

R-4651 Issued in AR

Legal business name

OZARK MOUNTAIN ORTHOPEDIC CLINIC, PA

Practice address

1708 W Main St
Heber Springs, AR 72543-2823

Phone

(501) 362-6631

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Arthur Waller, M.D.

Title

President

Phone

(501) 362-6631

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1891856837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 W MAIN ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725432823",
            "telephone_number": "501-362-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 W MAIN ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725432823",
            "telephone_number": "501-362-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK MOUNTAIN ORTHOPEDIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-362-6631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "R-4651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140217001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natural Springs Emergency Physicians LLC
• Newport Hospital Medical Supply
• Noland Dental PLLC
• Charles Conner Noland
• Joey Nugent, OD
• Path Psychiatric-Mental Health, LLC.
• Physical Therapy Services of Cleburne County, Inc
• Chloe Pigott, PT
• Cody Pigott, O.D.
• Pine Snag-Lobo Fire Association Inc

• Orthopaedic Surgery Physician in Heber Springs, AR
• Providers in Heber Springs, 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 May 19, 2009; 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.