Active NPI
John Gary Tharp, M.D.
- Specialist
- Little Rock, AR
National Provider Identifier
1083675441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C8184
- Practice address
- 1501 Aldersgate Rd
Little Rock, AR 72205-6611 - Phone
- (501) 228-9393
- Fax
- (501) 228-6019
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | C8184 | AR | Primary |
Addresses
Primary practice location
1501 Aldersgate Rd
Little Rock, AR 72205-6611
Mailing address
1501 Aldersgate Rd
Little Rock, AR 72205-6611
Phone (501) 228-9393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124952001 | Medicaid | AR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C8184 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Benton, LLC | Current | Accepting new patients | |
| Habilitation Center, LLC | Past | Accepting new patients | |
| Habilitation Center, LLC | Past | Accepting new patients |
Locations
100 Rivendell Dr
Benton, AR 72019
Phone (501) 316-1255
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.
-
- Psychiatric Hospital
- Benton, AR
- NPI 1063482735
-
- Psychiatric Residential Treatment Facility
- Conway, AR
- NPI 1932746070
-
- Psychiatric Residential Treatment Facility
- Fordyce, AR
- NPI 1952482036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083675441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 ALDERSGATE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056611",
"telephone_number": "501-228-9393",
"fax_number": "501-228-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 ALDERSGATE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056611",
"telephone_number": "501-228-9393",
"fax_number": "501-228-6019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THARP",
"first_name": "JOHN",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "C8184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124952001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.