Provider Demographics
NPI:1548233661
Name:ARMS, DONALD MARK (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:MARK
Last Name:ARMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 N MAYO TRL STE 4
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-1811
Mailing Address - Country:US
Mailing Address - Phone:606-789-4906
Mailing Address - Fax:606-789-4908
Practice Address - Street 1:1215 OLD MAIN ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:KY
Practice Address - Zip Code:42347-1619
Practice Address - Country:US
Practice Address - Phone:270-730-5344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY45504207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3384004Medicaid
TN3812480Medicaid
TN3812480Medicaid
TNG52314Medicare UPIN
TN3812481Medicare ID - Type UnspecifiedINDIVIDUAL