Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Orthopaedic Surgeon, PA

Organization Specialist · NPI 1255352027

Orthopaedic Surgeon, PA is a Specialist in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2504 W Main St Ste A
Russellville, AR 72801-2536
Phone: (479) 968-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence C4546 (AR)

Record details

NPI number1255352027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ted Honghiran — Doctor/Owner · (479) 968-3200
Other names Orthopaedic Clinic & Sports Medicine
NPI enumeratedJuly 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 9276, Russellville, AR 72811-9276

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