| Ryan Dewitz, | |
|
2601 Gene George Blvd, Springdale, AR 72762-0845 | |
| (479) 725-6800 | |
| (479) 725-6582 |
| Full Name | Ryan Dewitz |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2601 Gene George Blvd, Springdale, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396190401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | A171762 (California) | Secondary |
| 207X00000X | Orthopaedic Surgery | E-16698 (Arkansas) | Primary |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
| Entity Name | Arkansas Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Dewitz, 1 Childrens Way # 664, Little Rock, AR 72202-3500 Ph: (501) 364-1100 | Ryan Dewitz, 2601 Gene George Blvd, Springdale, AR 72762-0845 Ph: (479) 725-6800 |
Mr. John Marcus Heim, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave, Suite 411, Springdale, AR 72764 Phone: 479-757-5354 | |
Dr. Mark Allard, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 401, Springdale, AR 72764 Phone: 479-757-5052 Fax: 479-757-5059 | |
Dr. Donald Claude Bailey, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 Fairway Cir Apt G, Springdale, AR 72764 Phone: 479-750-2850 | |
Timothy E Hereford, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6800 Fax: 479-725-6582 | |
Dr. John Peter Ferris Jr., D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6800 Fax: 479-725-6582 | |
Dr. Justin M Hire, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6995 |