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

NPI Status: Active since September 04, 2018

Contact Information

9101 KANIS RD STE 200
LITTLE ROCK, AR
ZIP 72205
Phone: (636) 778-2900
Fax: (636) 778-2828

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  • Organization
  • Family Medicine
  • Sports Medicine

About BLUETAIL ARKANSAS PLLC

This page provides the complete NPI Profile along with additional information for Bluetail Arkansas Pllc, a primary care provider established in Little Rock, Arkansas operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1578045803 assigned on September 2018. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Bluetail Arkansas Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Kristin S Oliver Md (Owner)

NPI
1578045803
Provider Name
BLUETAIL ARKANSAS PLLC
Entity Type
Organization
Location Address
9101 KANIS RD STE 200 LITTLE ROCK, AR 72205
Location Phone
(636) 778-2900
Location Fax
(636) 778-2828
Mailing Address
C/O BLUETAIL MEDICAL GROUP, LLC 17300 NORTH OUTER 40 RD, STE 201 CHESTERFIELD, MO 63005
Mailing Phone
(636) 778-2900
Mailing Fax
(636) 778-2828
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-04-2018
Last Update Date
11-15-2018
Code Navigator

A primary care provider (PCP) like Bluetail Arkansas Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KRISTIN S OLIVER MD

Authorized Official Title
OWNER
Authorized Official Phone
(636) 778-2900

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578045803
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25148041080
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 0 + 4 + 1 + 0 + 8 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1578045803 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

RHEUMATOLOGY PARTNERS PLLC

Clinic/Center

(Medical Specialty)

9101 KANIS RD STE 200
LITTLE ROCK, AR
ZIP 72205

(501) 224-6366

RICHARD W HOUK M.D.

Internal Medicine

(Rheumatology)

9101 KANIS RD STE 200
LITTLE ROCK, AR
ZIP 72205

(501) 224-6366

DANIEL EMILIO GONZALEZ MD

Internal Medicine

(Rheumatology)

9101 KANIS RD STE 200
LITTLE ROCK, AR
ZIP 72205

(501) 224-6366

MAVI MAUREEN RIVERA PAVON MD

Internal Medicine

(Rheumatology)

9101 KANIS RD STE 200
LITTLE ROCK, AR
ZIP 72205

(501) 224-6366

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578045803, enumerated as an "organization" on September 04, 2018.

The provider is located at 9101 KANIS RD STE 200 LITTLE ROCK, AR 72205 and the phone number is (636) 778-2900.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.