NPIMap

Individual provider Active NPI

Jan C Sharp, M. D.

  • Family Medicine Physician
  • Heber Springs, AR
National Provider Identifier
1073592523
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C7749 Issued in AR
Practice address
401 W Searcy St
Heber Springs, AR 72543-3842
Phone
(501) 362-2414
Fax
(501) 362-7068
NPI assigned
Jan 12, 2006
Last updated
Sep 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C7749 AR Primary

Addresses

Primary practice location

401 W Searcy St
Heber Springs, AR 72543-3842

Mailing address

1155 Stacy Springs Rd
Heber Springs, AR 72543-7798
Phone (501) 362-2414

Other identifiers 1

IdentifierTypeStateIssuer
123682001MedicaidAR

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
I20110214000250 AR Practitioner - Family Practice 1658550447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 W Searcy St
Heber Springs, AR 72543-3842
Phone (501) 362-2414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7749ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heber Springs Clinic CurrentSince Jun 7, 1994 Accepting new patients

Locations

401 W Searcy St
Heber Springs, AR 72543
Phone (501) 362-2414

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1073592523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 STACY SPRINGS RD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725437798",
            "telephone_number": "501-362-2414",
            "fax_number": "501-362-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W SEARCY ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433842",
            "telephone_number": "501-362-2414",
            "fax_number": "501-362-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "JAN",
        "middle_name": "C",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C7749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123682001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

Verify at the official NPI Registry.