Individual provider Active NPI

Lonnie E Harrison, MD

  • Cardiovascular Disease Physician
  • Little Rock, AR
National Provider Identifier
1003048943
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C7481 Issued in AR
Practice address
7 Shackleford West Blvd
Little Rock, AR 72211-3714
Phone
(501) 664-5860
Fax
(501) 664-0889
NPI assigned
Aug 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C7481 AR Primary

Addresses

Primary practice location

7 Shackleford West Blvd
Little Rock, AR 72211-3714

Mailing address

1003 Schneider Dr
Malvern, AR 72104-4811
Phone (501) 337-5678

Other identifiers 1

IdentifierTypeStateIssuer
115615001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090904000469 AR Practitioner - Cardiovascular Disease (Cardiology) 2163310251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Arkansas College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lonnie Harrison PAGroup PAC ID 7618252420, 2 clinicians

Practice addresses (Care Compare)

3 Medical Park Dr
Suite 201
Benton, AR 72015-3725
Phone (501) 337-5678

Hospital & facility affiliations

  • Saline Memorial Hospital Hospital, Benton, AR, CCN 040084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sark Opl Cardiovascular Disease CurrentSince Feb 17, 2021 Accepting new patients
Lonnie Harrison, PA CurrentSince Jan 12, 2017 Accepting new patients
Little Rock Cardiology Clinic, PA Cardiovascular Disease Past Accepting new patients

Locations

3 Medical Park Dr
Ste 201
Benton, AR 72015
Phone (501) 337-5678

1003 Schneider Dr
Malvern, AR 72104
Phone (501) 337-5678

1507 Linwood Dr
Paragould, AR 72450
Phone (870) 239-8105

7200 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-2900

Networks

  • TN PPO C-SNP
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • TN PPO
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • MS PPO C-SNP
  • MS PPO D-SNP
  • MS PPO

Interoperability endpoints

  • Direct secure messaging: lonnie_harrison@1f7703f0.micromddirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHGCCD/Endpoint/BHGCCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCJICD/Endpoint/BCJICD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1003048943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 SCHNEIDER DR",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721044811",
            "telephone_number": "501-337-5678",
            "fax_number": "501-332-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SHACKLEFORD WEST BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113714",
            "telephone_number": "501-664-5860",
            "fax_number": "501-664-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LONNIE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "C7481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115615001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.