Active NPI
John D Mesko, M.D.
- Specialist
- Mena, AR
National Provider Identifier
1003822016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C6220
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100071960 A | Medicaid | OK | |
| 112972001 | Medicaid | AR | |
| 50764 | Other | AR | BLUE CROSS BLUE SHEILD |
| 710709244 | Other | AR | TAX 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
Enrollment records 1
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6220 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mena Hospital Commission | Current | Accepting new patients | |
| Mena Hospital Commission | Current | Accepting new patients | |
| Mena Hospital Commission | Current | Accepting new patients | |
| Mena Hospital Commission | Current | Accepting new patients | |
| Rich Mountain Womens Clinic | Specialist | Past | Accepting new patients |
Locations
311 Morrow St N
Mena, AR 71953
Phone (479) 394-6100
Interoperability endpoints
- 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.
-
- Rural Acute Care Hospital
- Mena, AR
- NPI 1285739581
-
- Specialist
- Mena, AR
- NPI 1861631723
-
- Family Medicine Physician
- Mena, AR
- NPI 1003473463
-
- Registered Nurse
- Mena, AR
- NPI 1093810392
-
- Rehabilitation Hospital Unit
- Mena, AR
- NPI 1902901200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mena, AR
- NPI 1861449639
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.