Edward J Merritt, MD
Individual provider Active NPI Family Medicine Physician · Carlisle, AR
NPI 1043472962 · NPPES record last updated Jul 5, 2018
Key facts
- NPI
- 1043472962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E-6530 (AR)
- Practice address
- 821 East Park Street, Hwy 70
Carlisle, AR 72024 - Phone
- (870) 552-7303
- Fax
- (870) 552-7719
- NPI assigned
- Jul 1, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arcare
Baptist Medcare Inc
Practice addresses (Care Compare)
105 N Jackson St
Cabot, AR 72023-3058
Phone (877) 805-1023
1127 Main St
Vilonia, AR 72173-9525
Phone (501) 796-6740
1503 Main St
Des Arc, AR 72040-3299
Phone (870) 256-4176
227 Pine Bluff Hwy
England, AR 72046-2234
Phone (501) 842-3132
502 Richie Rd
Cabot, AR 72023-3309
Phone (501) 941-0940
5830 Hwy 5
Cabot, AR 72023-7328
Phone (501) 941-1376
623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534
705 Hwy 63 N
Hazen, AR 72064-8054
Phone (870) 255-3696
821 E Park St
Arcare 17
Carlisle, AR 72024-9024
Phone (870) 552-7303
9601 Baptist Health Dr
Little Rock, AR 72205-6321
Phone (501) 202-2300
Hospital & facility affiliations
- Elite Home Health
- Baptist Health Home Health-LR
- Baptist Health Medical Center-Stuttgart
- Baptist Health Medical Center-Stuttgart
- Baptist Health Medical Center North Little Rock
- Baptist Health Medical Center-Little Rock
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100909000673 | AR | Practitioner - Emergency Medicine |
3870618150 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-6530 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Emergency Staffing Solutions, Inc | Current |
Accepting new patients | |
| Arcare | Current |
Accepting new patients | |
| Baptist Medcare, Inc | Current |
Accepting new patients | |
| Arcare | Current |
Accepting new patients | |
| Arcare | Current | Accepting new patients |
Locations
3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300
623 N 9th St
#40
Augusta, AR 72006
821 E Park St
Carlisle, AR 72024
Phone (870) 552-7110
1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995
1703 N Buerkle St
Stuttgart, AR 72160
Phone (870) 674-6301
Interoperability endpoints
- edward.merritt@arcare.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | E-6530 | AR | Yes |
Addresses
Primary practice location
821 East Park Street, Hwy 70
Carlisle, AR 72024
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184331001 | Medicaid | AR | |
| 117581749 | Medicaid | AR |
Other providers in Carlisle, AR
- Brittany Howard
- Inman Dental Clinic
- Thomas G Inman
- Lonokeco Ops, Inc.
- Connie L. Medsker
- Shala D Neal
- Rebecca Ann Parham
- Reaper Therapy, LLC
- Matthew Bryan Tharp
- Jennie Breanne Tidwell
All providers in Carlisle, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.