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OBU SPORTS MEDICINE
NPI 1609364173
Pediatrics in Arkadelphia, AR

Active since April 30, 2018
410 OUACHITA ST, ARKADELPHIA, AR 71998(972) 367-4845 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, Apr 30, 2018 (2 updates tracked since 2018).

About Obu Sports Medicine NPPES

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

OBU SPORTS MEDICINE (NPI 1609364173) is a healthcare organization registered as a pediatrics in Arkadelphia, Arkansas and active in the NPI registry since April 2018. The organization lists Mouzon Bass, Administrator, as its authorized official.

NPPES Registry Identity

NPI1609364173
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameOUACHITA BAPTIST UNIVERSITY
Location Address410 OUACHITA STArkadelphia, AR 71998-0001
Mailing Address15305 Dallas Pkwy Ste 800Addison, TX 75001-6415 · (972) 367-4845
Phone(972) 367-4845
Organization SubpartNo
Authorized OfficialMouzon BassAdministrator · (972) 367-4845
Enumeration DateApril 30, 2018
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1609364173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
410 OUACHITA ST, Arkadelphia, AR 71998
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Other Names 1

Doing Business AsObu Sports Medicine

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 18

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

SHAKITA SHANICE GORDON
Student in an Organized Health Care Education/Training Program
410 OUACHITA ST
ARKADELPHIA, AR 71998
Clark County (870) 245-5000
MR. BRANDON SCOTT JONES MA, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
410 OUACHITA ST, OBU BOX 3652
ARKADELPHIA, AR 71998
Clark County (870) 245-5180
LANEY JEWEL MEARS
Student in an Organized Health Care Education/Training Program
410 OUACHITA ST
ARKADELPHIA, AR 71998
Clark County (870) 245-5000
JOSHUA SCOTT WRIGHT
Student in an Organized Health Care Education/Training Program
410 OUACHITA ST
ARKADELPHIA, AR 71998
Clark County (870) 245-5103
EMMA GIPSON
Student in an Organized Health Care Education/Training Program
410 OUACHITA ST
ARKADELPHIA, AR 71998
Clark County (870) 245-5000
STEPHANIE LAUREN SMITHSON
Student in an Organized Health Care Education/Training Program
410 OUACHITA ST
ARKADELPHIA, AR 71998
Clark County (870) 245-5000
RACHEL KELLEY
Student in an Organized Health Care Education/Training Program
410 OUACHITA ST
ARKADELPHIA, AR 71998
Clark County (870) 245-5000
DAYLENE CHANDLER MS, ATC
Specialist/Technologist (Athletic Trainer)
410 OUACHITA ST, OBU BOX 3732
ARKADELPHIA, AR 71998
Clark County (870) 245-4187

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ouachita Baptist University's NPI number?

The NPI number for Ouachita Baptist University is 1609364173. It was assigned to this organization in the NPPES registry on April 30, 2018. The provider is doing business as Obu Sports Medicine.

Where is Ouachita Baptist University located?

Ouachita Baptist University is located at 410 Ouachita St, Arkadelphia, AR 71998. The listed phone number is (972) 367-4845.

What is Ouachita Baptist University's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Ouachita Baptist University was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.