OZARK ORTHOPAEDIC AND SPORTS MEDICINE
NPI 1649210584
Orthopaedic Surgery in Fayetteville, AR

NPI Status: Active since June 08, 2006

Contact Information

3317 N WIMBERLY DR
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-2752
Fax: (479) 521-4603

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  • Organization
  • Orthopaedic Surgery
  • Accepts Insurance

About OZARK ORTHOPAEDIC AND SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Ozark Orthopaedic And Sports Medicine, a provider established in Fayetteville, Arkansas operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1649210584 assigned on June 2006. The practitioner's primary taxonomy code is 207X00000X with license number MC-0077 (AR). The provider is registered as an organization and their NPI record was last updated 3 years ago. Ozark Orthopaedic And Sports Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Ozark Orthopaedic And Sports Medicine. The authorized official of this NPI record is Tracy Davenport (Chief Operating Officer)

NPI
1649210584
Provider Legal Name
OZARK ORTHOPAEDICS, P.A.
Other Organization Name
OZARK ORTHOPAEDIC AND SPORTS MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3317 N WIMBERLY DR FAYETTEVILLE, AR 72703
Location Phone
(479) 521-2752
Location Fax
(479) 521-4603
Mailing Address
PO BOX 1608 FAYETTEVILLE, AR 72702
Mailing Phone
(479) 521-2752
Mailing Fax
(479) 521-4603
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2006
Last Update Date
04-27-2023
Code Navigator

Location Map

Secondary Locations

  • 310 N Progress Ave Suite 30
    Siloam Springs, AR 72761
    (479) 521-2752
  • 310 N Progress Ave Suite 30
    Siloam Springs, AR 72761
    (479) 521-2752
  • 310 N Progress Ave Suite 30
    Siloam Springs, AR 72761
    (479) 521-2752
  • 601 W Maple Ave Ste 704
    Springdale, AR 72764
    (479) 521-2752
  • 603-2 N Progress Ave
    Siloam Springs, AR 72761
    (479) 521-2752
  • 1800 SE Moberly Ln
    Bentonville, AR 72712
    (479) 521-4603
  • 146 Passion Play Rd Ste A
    Eureka Springs, AR 72632
    (479) 521-2752

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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
MC-0077
License State
AR
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207XS0106XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Hand Surgery

 
2208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
3261QU0200XAmbulatory Health Care Facilities

Clinic/Center
Urgent Care

 
4332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoice) + Vision + Adult Dental - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Elite Gold (QualChoiceLife) + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze (QualChoice) - POS
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO
  • Standard Silver + Vision + Adult Dental - PPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Bronze Exp Standardized - PPO
  • Bronze Value - PPO
  • Catastrophic HSA - PPO
  • Gold Standardized - PPO
  • Gold Value - PPO
  • Silver AH - PPO
  • Silver Standardized - PPO
  • Dental Gold - PPO
  • Dental Gold Plus Vision - PPO
  • Dental Pediatric - PPO
  • Dental Platinum - PPO
  • Dental Platinum Plus Vision - PPO
  • Dental Platinum Premium - PPO
  • Dental Platinum Premium Plus Vision - PPO
  • Dental Silver - PPO
  • HA Bronze Exp Standardized - POS
  • HA Bronze National - POS
  • HA Gold Premier National - POS
  • HA Gold Standardized - POS
  • HA Platinum Premier National - POS
  • HA Platinum Standardized - POS
  • HA Silver AH - POS
  • HA Silver Standardized - POS
  • Octave Bronze Exp Standardized - POS
  • Octave Bronze Value - POS
  • Octave Gold Classic National - POS
  • Octave Gold Standardized - POS
  • Octave Silver AH - POS
  • Octave Silver Standardized - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

TRACY DAVENPORT

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(479) 587-3149

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
205331716OTHER (01)ARMEDICAID DME FOR SILOAM SPRINGS CLINIC
106296002MEDICAID (05)AR 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649210584, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 4 + 1 + 0 + 5 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1649210584.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Occupational Therapist
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physical Therapist
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physical Therapist
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Occupational Therapist (Hand)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Occupational Therapist
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physical Therapist
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physical Therapist (Orthopedic)
3317 N WIMBERLY DR, 2ND FLOOR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery (Hand Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery (Hand Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physical Medicine & Rehabilitation (Pain Medicine)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery (Sports Medicine)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery (Sports Medicine)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physician Assistant
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649210584, enumerated as an "organization" on June 08, 2006.

The provider is located at 3317 N WIMBERLY DR FAYETTEVILLE, AR 72703 and the phone number is (479) 521-2752.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.