Individual provider Active NPI

John Eric Henriksen, MD

  • Family Medicine Physician
  • Magnolia, AR
National Provider Identifier
1083675284
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2924 Issued in AR
Practice address
101 Hospital Drive
Magnolia, AR 71753
Phone
(870) 235-3000
Fax
(870) 235-3557
NPI assigned
Mar 29, 2006
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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 E2924 AR Primary

Addresses

Primary practice location

101 Hospital Drive
Magnolia, AR 71753

Mailing address

PO Box 629
Magnolia, AR 71754-0629
Phone (870) 235-3551

Other identifiers 1

IdentifierTypeStateIssuer
E2924OtherARAR MEDICAL BOARD

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
I20080117000286 AR Practitioner - Family Practice 2264513191 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HCC of El Dorado LLCGroup PAC ID 1850789488, 5 clinicians
Ouachita County Medical CenterGroup PAC ID 4587641055, 29 clinicians

Practice addresses (Care Compare)

638 California Ave SW
Camden, AR 71701-4604
Phone (870) 863-2000

700 W Grove St
El Dorado, AR 71730-4416
Phone (870) 863-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.37 of 100Reported as group
Quality
71.5
Improvement activities
40
Cost
75.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2924ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC of El Dorado LLC CurrentSince Jan 1, 2026 Accepting new patients
Ouachita County Medical Center CurrentSince Feb 5, 2017 Accepting new patients
Ouachita County Medical Center Current Accepting new patients
Perkins & Arnold, PLLC Current Accepting new patients
Ouachita County Medical Center CurrentSince Feb 5, 2017 Accepting new patients
Ess of El Dorado, LLC CurrentSince Jan 1, 2026 Accepting new patients
Arbor Hospice and Palliative Care, LLC Family Medicine Past Accepting new patients
Ouachita County Medical Services Past Accepting new patients

Locations

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

638 California Ave SW
East Camden, AR 71701
Phone (870) 836-1000

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

Organizations & group practices 8

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 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1083675284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717540629",
            "telephone_number": "870-235-3551",
            "fax_number": "870-235-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DRIVE",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "71753",
            "telephone_number": "870-235-3000",
            "fax_number": "870-235-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIKSEN",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR MEDICAL BOARD",
            "identifier": "E2924",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.