Ethan J Schock in Little Rock - Sports Medicine
Ethan J Schock - NPI 1033197215
Ethan J Schock is a Sports Medicine in Little Rock, Arkansas. Ethan J Schock practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Ethan J Schock is 1033197215. The last update date is 2018-07-06.
Ethan J Schock's current location address is 800 Fair Park Blvd, Little Rock, Arkansas. You can contact this provider via phone number 5016633647 and fax number 5016669653. The mailing address for Ethan J Schock is 800 Fair Park Blvd, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan J Schock |
|---|---|
| Address | 800 Fair Park Blvd, Little Rock, Arkansas |
| Phone Number | 5016633647 |
| Fax Number | 5016669653 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1033197215 |
|---|---|
| Provider Enumeration Date | 2006-01-06 |
| Last Updated Date | 2018-07-06 |
Provider Mailing Address Detail
| Address | 800 Fair Park Blvd |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722041720 |
| Phone Number | 5016633647 |
| Fax Number | 5016669653 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | E-2961 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 145157001 | AR | -- | |
| 5L876C207 | AR | MEDICARE PTAN |
Post Comment/ Review Below
What is the Ethan J Schock's 1033197215?
The Ethan J Schock's NPI (National Provider Identifier) Number is 1033197215. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ethan J Schock?
The Ethan J Schock is physically situated at 800 Fair Park Blvd, in the city of Little Rock, state of AR, with the postal code 722041720.
What is the Ethan J Schock's specialty and taxonomy code?
The Ethan J Schock's specialty is Sports Medicine, and the corresponding taxonomy code is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033197215 to Ethan J Schock?
The Ethan J Schock received its 1033197215 assignment from the Centers for Medicare & Medicaid Services on 2006-01-06.
When was the information pertaining to Ethan J Schock most recently updated or revised?
The details related to Ethan J Schock, including its address, specialty, and other relevant information, were last updated or revised on 2018-07-06.