Individual provider Active NPI

Eric Webb, PA-C

  • Physician Assistant
  • Mena, AR
National Provider Identifier
1093739989
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-519 Issued in AR
Practice address
136 Health Park Dr
Mena, AR 71953-9072
Phone
(888) 710-8220
Fax
(866) 573-0761
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-519 AR Primary

Addresses

Primary practice location

136 Health Park Dr
Mena, AR 71953-9072

Mailing address

PO Box 1848
Mena, AR 71953-1841
Phone (479) 437-3449

Other identifiers 1

IdentifierTypeStateIssuer
197973795MedicaidAR

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130913000018 AR Practitioner - Physician Assistant 3476456187 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-519ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Connections Incorporated CurrentSince Jul 28, 2017 Accepting new patients
Healthy Connections Incorporated CurrentSince Jul 28, 2017 Accepting new patients
Healthy Connections Inc Past Accepting new patients

Locations

1206 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 642-3317

208 McAuley Ct
Ste B
Hot Springs, AR 71913

3604 Central Ave
Ste D
Hot Springs National Park, AR 71913
Phone (501) 318-0646

1100 N University Ave
Ste 200
Little Rock, AR 72207
Phone (501) 209-4040

900 Martin Luther King Blvd
Malvern, AR 72104
Phone (501) 332-7525

136 Health Park Dr
Mena, AR 71953
Phone (479) 437-6023

534 Luzerne St
Mount Ida, AR 71957
Phone (870) 867-4244

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1093739989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719531841",
            "telephone_number": "479-437-3449",
            "fax_number": "479-243-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HEALTH PARK DR",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719539072",
            "telephone_number": "888-710-8220",
            "fax_number": "866-573-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197973795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

Verify at the official NPI Registry.