Active NPI
Gary R. Highfill, MD
- Otolaryngology Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2001014986
- Practice address
- 1500 Dodson Ave
Ste 260
Fort Smith, AR 72901-5182 - Phone
- (479) 573-7985
- Fax
- (479) 573-7987
- NPI assigned
- Oct 16, 2006
- Last updated
- Nov 28, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2001014986 | MO | Primary |
Addresses
Primary practice location
1500 Dodson Ave
Ste 260
Fort Smith, AR 72901-5182
Mailing address
PO Box 11449
Belfast, ME 04915-4005
Phone (479) 709-1924
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148435001 | Medicaid | AR | |
| 200171840A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bolivar, MO 65613
Phone (417) 328-6631
1155 W Parkview
2K CMH Rheumatology
Bolivar, MO 65613-8598
Phone (417) 328-7000
1155 W Parkview St
Suite 2J
Bolivar, MO 65613-8598
Phone (417) 328-7702
1500 N Oakland Ave
CMH Diabetes
Bolivar, MO 65613-3099
Phone (417) 328-6040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001014986 | MO | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| Midwest Division - LRHC LLC | Current | Accepting new patients | |
| Ozarks Medical Center | Otolaryngology | Past | Accepting new patients |
Locations
1155 W Parkview St
Ste 2J
Bolivar, MO 65613
Phone (417) 328-7000
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
1500 State St
Lexington, MO 64067
Phone (660) 259-2203
Organizations & group practices 4
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.
-
- Surgery Physician
- Bolivar, MO
- NPI 1568566131
-
dba Lafayette Regional Health Center
- Critical Access Hospital
- Lexington, MO
- NPI 1639362460
-
dba CMH Willard Medical Center
- Rural Health Clinic/Center
- Willard, MO
- NPI 1568127397
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Otolaryngology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Citizens Memorial Hospital
- General Acute Care Hospital
- Bolivar, MO
- NPI 1003981549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1073693909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11449",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154005",
"telephone_number": "479-709-1924",
"fax_number": "479-709-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DODSON AVE",
"address_2": "STE 260",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729015182",
"telephone_number": "479-573-7985",
"fax_number": "479-573-7987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGHFILL",
"first_name": "GARY",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "2001014986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148435001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200171840A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
- Terry Hicks
- Thomas Hicks
- Datonna Michelle Higgins, LPC
- Jessica Higgins, LPC
- Kimberly Higgs
- Highlands of Fort Smith (Highlands of Fort Smith Therapy and Living Center)
- Highlands of Fort Smith Holdings LLC (Highlands of Fort Smith Therapy and Living Center)
- Alberta D Hill, MS, QMHP C,A
- Carla Ladynn Hill, APRN
- Hillary R. Hunt, PH.D., PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.