Active NPI
Jamie C Irwin, DO
- Pediatrics Physician
- Hot Springs, AR
National Provider Identifier
1043413909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E5512
- Practice address
- 225 McAuley CT
Hot Springs, AR 71913-6314 - Phone
- (501) 321-2546
- Fax
- (501) 321-1838
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E5512 | AR | Primary |
Addresses
Primary practice location
225 McAuley CT
Hot Springs, AR 71913-6314
Mailing address
PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 767-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168836003 | Medicaid | AR |
Other names 1
- Jamie Charlene Hearne
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5512 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saline Clinics LLC | Current | Accepting new patients |
Locations
5 Medical Park Dr
Ste 203
Benton, AR 72015
Phone (501) 315-7620
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
Interoperability endpoints
- jirwin214841@directb.mercy.net
- jamie.irwin.1@16686.direct.athenahealth.com
- https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Benton, AR
- NPI 1447609367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1043413909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21850",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719031850",
"telephone_number": "501-767-9111",
"fax_number": "501-767-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MCAULEY CT",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136314",
"telephone_number": "501-321-2546",
"fax_number": "501-321-1838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "JAMIE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E5512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168836003",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "HEARNE",
"middle_name": "CHARLENE",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.