Healthcare Provider Details

I. General information

NPI: 1093014136
Provider Name (Legal Business Name): ADAM WAYNE NORWOOD D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2011
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 BAPTIST HEALTH DR STE 210
LITTLE ROCK AR
72205-6343
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4393
US

V. Phone/Fax

Practice location:
  • Phone: 501-217-3533
  • Fax: 501-217-3578
Mailing address:
  • Phone: 501-217-3533
  • Fax: 501-217-3578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberE16931
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: