# OZARK ORTHOPAEDICS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OZARK ORTHOPAEDICS, P.A.
- **Other names:** Othopaedic Clinic, Ltd., OZARK ORTHOPAEDICS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235573577
- **Legal business name:** OZARK ORTHOPAEDICS, P.A.
- **Authorized official:** DR. TOM PAT COKER M.D. (PRESIDENT OF CORPORATION)
- **Authorized official phone:** (479) 521-2752

## Contact information

- **Practice address:** 1800 SE MOBERLY LN, STE B, BENTONVILLE, AR 72712-7017
- **Practice address phone:** (479) 521-2752
- **Practice address fax:** (479) 521-4603
- **Mailing address:** 3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4056
- **Mailing address phone:** (479) 521-2752
- **Mailing address fax:** (479) 521-4603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 04/17/2013
- **Last updated:** 07/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0290210002 | CIGNA MEDICARE DURABLE MEDICAL EQUIPMENT PTAN | AR |