BLUETAIL ARKANSAS PLLC
NPI 1578045803
Family Medicine - Sports Medicine in Little Rock, AR

Q: What is Bluetail Arkansas PLLC's NPI number?

The NPI number for Bluetail Arkansas PLLC is 1578045803. It was assigned to this organization in the NPPES registry on September 4, 2018.

Q: What is Bluetail Arkansas PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since September 04, 2018

9101 KANIS RD STE 200, LITTLE ROCK, AR 72205(636) 778-2900(636) 778-2828 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2018, Sep 4, 2018 (2 updates tracked since 2018).

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About Bluetail Arkansas Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUETAIL ARKANSAS PLLC (NPI 1578045803) is a healthcare organization registered as a sports medicine in Little Rock, Arkansas and active in the NPI registry since September 2018. The organization lists Kristin S Oliver, Owner, as its authorized official.

NPPES Registry Identity

NPI1578045803

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameBLUETAIL ARKANSAS PLLC

Location Address9101 KANIS RD STE 200Little Rock, AR 72205-6455

Mailing AddressC/o Bluetail Medical Group, Llc, 17300 North Outer 40 Rd, Ste 201Chesterfield, MO 63005-1364 · (636) 778-2900 · Fax (636) 778-2828

Phone(636) 778-2900

Fax(636) 778-2828

Organization SubpartNo

Authorized OfficialKristin S OliverOwner · (636) 778-2900

Enumeration DateSeptember 4, 2018

Last NPPES UpdateNovember 15, 20182 updates tracked since enumeration

✔ NPI 1578045803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

9101 KANIS RD STE 200, Little Rock, AR 72205

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENEE PETERKIN-MCCALMAN M.D.

Internal Medicine (Rheumatology)