NPIMap

Individual provider Active NPI

Steve E Wampler, M.D.

  • Family Medicine Physician
  • Killen, AL
National Provider Identifier
1093717696
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15354 Issued in AL
Practice address
351 Hwy 64
Killen, AL 35645
Phone
(256) 272-8066
Fax
(256) 272-8375
NPI assigned
Aug 12, 2005
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 15354 AL
Family Medicine Physician 207Q00000X 15354 AL Primary

Addresses

Primary practice location

351 Hwy 64
Killen, AL 35645

Mailing address

115 W Kimberly Drive
McCrory, AR 72101-8539
Phone (870) 731-0640

Other practice location 1

115 W Kimberly Drive
McCrory, AR 72101-8539
Phone (870) 731-0640

Other identifiers 4

IdentifierTypeStateIssuer
000087706MedicaidAL
009941493MedicaidAL
051538997OtherALBLUE CROSS
051087706OtherALBCBSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060710000194 AL Practitioner - Family PracticePractitioner - Emergency Medicine 7113930314 Reassigns benefits to 1 organization
I20210714003796 AR Practitioner - Family Practice 7113930314 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
Group practices
Cache River Medical ClinicGroup PAC ID 6709288681, 2 clinicians

Practice addresses (Care Compare)

115 W Kimberly Dr
McCrory, AR 72101-8539
Phone (870) 731-0640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.94 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15354ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Walk-in Clinic, LLC CurrentSince Feb 15, 2016 Accepting new patients
Cache River Medical Clinic Family Medicine CurrentSince Jun 11, 2021 Accepting new patients
El Reposo Nursing Facility Past Accepting new patients

Locations

2612 Hough Rd
Florence, AL 35630
Phone (256) 275-3724

115 W Kimberly
McCrory, AR 72101
Phone (870) 731-0640

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1093717696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W KIMBERLY DRIVE",
            "city": "MCCRORY",
            "state": "AR",
            "postal_code": "721018539",
            "telephone_number": "870-731-0640",
            "fax_number": "870-731-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HWY 64",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "35645",
            "telephone_number": "256-272-8066",
            "fax_number": "256-272-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W Kimberly Drive",
            "address_purpose": "LOCATION",
            "city": "McCrory",
            "state": "AR",
            "postal_code": "721018539",
            "country_code": "US",
            "telephone_number": "870-731-0640",
            "fax_number": "870-731-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAMPLER",
        "first_name": "STEVE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2021-07-20",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "15354",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "15354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000087706",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941493",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051538997",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSA",
            "identifier": "051087706",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killen, AL

Sources for this page

Verify at the official NPI Registry.