Individual provider Active NPI

John D Mesko, M.D.

  • Specialist
  • Mena, AR
National Provider Identifier
1003822016
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C6220 Issued in AR
Practice address
403 North Morrow
Suite a
Mena, AR 71953
Phone
(479) 394-4595
Fax
(479) 394-1140
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C6220 AR Primary

Addresses

Primary practice location

403 North Morrow
Suite a
Mena, AR 71953

Mailing address

403 North Morrow
Suite a
Mena, AR 71953
Phone (479) 394-4595

Other identifiers 4

IdentifierTypeStateIssuer
100071960 AMedicaidOK
112972001MedicaidAR
50764OtherARBLUE CROSS BLUE SHEILD
710709244OtherARTAX ID #

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
I20110316000954 AR Practitioner - Obstetrics/Gynecology 6507048253 Reassigns benefits to 1 organization
Practice locations: Mena, AR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

403 Morrow N a
Mena, AR 71953-4324

Hospital & facility affiliations

  • Mena Regional Health System Hospital, Mena, AR, CCN 041334

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C6220ARMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mena Hospital Commission Current Accepting new patients
Mena Hospital Commission CurrentSince Apr 13, 2019 Accepting new patients
Mena Hospital Commission Current Accepting new patients
Mena Hospital Commission CurrentSince Apr 13, 2019 Accepting new patients
Rich Mountain Womens Clinic Specialist PastSince Nov 13, 2012 Accepting new patients

Locations

311 Morrow St N
Mena, AR 71953
Phone (479) 394-6100

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/mena-f999ae07

Organizations & group practices 5

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1003822016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 NORTH MORROW",
            "address_2": "SUITE A",
            "city": "MENA",
            "state": "AR",
            "postal_code": "71953",
            "telephone_number": "479-394-4595",
            "fax_number": "479-394-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 NORTH MORROW",
            "address_2": "SUITE A",
            "city": "MENA",
            "state": "AR",
            "postal_code": "71953",
            "telephone_number": "479-394-4595",
            "fax_number": "479-394-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESKO",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "C6220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100071960 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112972001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "50764",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "710709244",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

Verify at the official NPI Registry.