Otis Sumter Warr IV, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

E3744 Issued in AR

Practice address

555 W 6TH St
Mountain Home, AR 72653-3409

Phone

(870) 425-8288

Fax

(870) 425-8299

NPI assigned

Jun 2, 2005

Last updated

Feb 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Cardiovascular Disease (Cardiology)Also: Nuclear Medicine, Peripheral Vascular Disease

Education

University of Tennessee, HSC, College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baxter Regional Enterprises, LLCGroup PAC ID 3476945528, 16 clinicians

Baxter County Regional Hospital IncGroup PAC ID 3274420971, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baxter Health Hospital, Mountain Home, AR, CCN 040027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: otis.warr@bhcawp.eclinicaldirectplus.com

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

• Baxter County Regional Hospital Inc

  dba BRMC Professional Fees

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1033147921
  Medicare reassignment Care Compare group NPD
• Baxter Regional Enterprises, LLC

  dba Baxter Regional Cardiovascular Clinic

  • Specialist
  • Mountain Home, AR
  • NPI 1265197651
  Medicare reassignment Care Compare group NPD
• Baxter County Regional Hospital, Inc

  dba Baxter Health Pain Clinic

  • Interventional Pain Medicine Physician
  • Mountain Home, AR
  • NPI 1811859606
  NPD
• Baxter Regional Enterprises, LLC

  dba Baxter Health Cardiology Clinic at Harrison

  • Clinic/Center
  • Harrison, AR
  • NPI 1689556839
  NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

• Baxter County Regional Hospital Inc

  dba BRMC Professional Fees

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1033147921
  Care Compare affiliation
• Baxter County Regional Hospital, Inc

  dba Baxter Health

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1881788933
  Care Compare affiliation

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1043214323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W 6TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533409",
            "telephone_number": "870-425-8288",
            "fax_number": "870-425-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 6TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533409",
            "telephone_number": "870-425-8288",
            "fax_number": "870-425-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARR",
        "first_name": "OTIS",
        "middle_name": "SUMTER",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E3744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS #",
            "identifier": "5M662",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE #",
            "identifier": "03120015100",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE #",
            "identifier": "A005",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150550001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Gail E Walter, CRNA
• Amy Walton
• Christina Ward, PTA
• James Andrew Warr, MD
• Shelley J Warr, M.D.
• Gloria Washburn, LAC
• Brandi Dawn Watson, APRN
• Renee Watts, PTA
• Victoria Watts

• Specialist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.

Verify at the official NPI Registry.