JONESBORO ORTHOPEDICS AND SPORTS MEDICINE
NPI 1033650817
Physician Assistant - Surgical in Jonesboro, AR
Active since March 14, 2017
About Jonesboro Orthopedics And Sports Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONESBORO ORTHOPEDICS AND SPORTS MEDICINE (NPI 1033650817) is a healthcare organization registered as a surgical in Jonesboro, Arkansas and active in the NPI registry since March 2017. The organization lists Betty Rodgers, Office Manager, as its authorized official.
NPPES Registry Identity
NPI1033650817
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameDICKSON ORTHOPEDICS, PA
Location Address1416 E MATTHEWS, SUITE 200Jonesboro, AR 72401-4632
Mailing Address1416 E Matthews Ave, Suite 200Jonesboro, AR 72401-4362
Phone(870) 932-1920
Organization SubpartNo
Authorized OfficialBetty RodgersOffice Manager · (870) 932-1820
Enumeration DateMarch 14, 2017
✔ NPI 1033650817 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AR · PT2017-016
1416 E MATTHEWS, Jonesboro, AR 72401
Other Names 1
Doing Business AsJonesboro Orthopedics And Sports Medicine
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033650817, enumerated as an "organization" on March 14, 2017.
The provider is located at 1416 E MATTHEWS SUITE 200 JONESBORO, AR 72401 and the phone number is (870) 932-1920.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
