Individual provider Active NPI

Cassidy Rhodes, DO

  • Family Medicine Physician
  • Van Buren, AR
National Provider Identifier
1053992909
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-16036 Issued in AR
Practice address
2800 Fayetteville Rd
Van Buren, AR 72956-6523
Phone
(479) 314-4000
NPI assigned
Apr 20, 2021
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X E-16036 AR Primary

Addresses

Primary practice location

2800 Fayetteville Rd
Van Buren, AR 72956-6523

Mailing address

2800 Fayetteville Rd
Van Buren, AR 72956-6523
Phone (479) 314-4000

Other practice location 1

612 S 12th St
Fort Smith, AR 72901-4702
Phone (479) 785-2431

Other names 1

  • Cassidy Goff Former name

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
I20230602002377 AR Practitioner - Family Practice 9234538844 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2800 Fayetteville Rd
Van Buren, AR 72956-6523
Phone (479) 314-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron CurrentSince Dec 21, 2023 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Correct Care, Inc. CurrentSince Nov 16, 2023 Accepting new patients
Mercy Hospital Ozark CurrentSince Dec 21, 2023 Accepting new patients
Mercy Hospital Paris Current Accepting new patients
Mercy Hospital Waldron CurrentSince Dec 21, 2023 Accepting new patients
Mercy Hospital Paris CurrentSince Dec 21, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 1, 2024 Accepting new patients
Mercy Hospital Ozark Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 1, 2024 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Booneville CurrentSince Dec 21, 2023 Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

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

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

2800 Fayetteville Rd
Van Buren, AR 72956
Phone (479) 314-1131

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1053992909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 FAYETTEVILLE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566523",
            "telephone_number": "479-314-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FAYETTEVILLE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566523",
            "telephone_number": "479-314-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 S 12th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014702",
            "country_code": "US",
            "telephone_number": "479-785-2431",
            "fax_number": "479-785-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "CASSIDY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-16036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDY",
            "last_name": "GOFF",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Van Buren, AR

Sources for this page

Verify at the official NPI Registry.