NPIMap

Individual provider Active NPI

Robert F McCarron, M.D.

  • Orthopaedic Surgery Physician
  • Conway, AR
National Provider Identifier
1073505541
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C5220 Issued in AR
Practice address
550 Club Lane
Suite 1
Conway, AR 72034-3681
Phone
(501) 329-1510
Fax
(501) 329-5697
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C5220 AR Primary

Addresses

Primary practice location

550 Club Lane
Suite 1
Conway, AR 72034-3681

Mailing address

550 Club Lane
Suite 1
Conway, AR 72034-3681
Phone (501) 329-1510

Other identifiers 5

IdentifierTypeStateIssuer
200013843OtherARRR MEDICARE
114607001MedicaidAR
12590000000OtherARQUAL CHOICE
130436716MedicaidAR
51938OtherARBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421001466 AR Practitioner - Orthopedic Surgery 1850353780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

550 Club LN
Suite 1
Conway, AR 72034-3681
Phone (501) 329-1510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5220ARMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc CurrentSince Jan 2, 2020 Accepting new patients
Conway Regional Medical Center Inc. Orthopaedic Surgery CurrentSince Jan 2, 2020 Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients

Locations

550 Club Ln
#1
Conway, AR 72034

550 Club Ln
Ste One
Conway, AR 72034
Phone (501) 329-1510

550 Club Ln
Ste 1
Conway, AR 72034
Phone (501) 329-1510

525 Western Ave
Ste 202
Conway, AR 72034
Phone (501) 358-6905

Interoperability endpoints

  • Direct secure messaging: robert.mccarron@1246.chartlogic.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1073505541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CLUB LANE",
            "address_2": "SUITE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343681",
            "telephone_number": "501-329-1510",
            "fax_number": "501-329-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CLUB LANE",
            "address_2": "SUITE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343681",
            "telephone_number": "501-329-1510",
            "fax_number": "501-329-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRON",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "C5220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200013843",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114607001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "12590000000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130436716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51938",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.