Active NPI
Jacob Didion, M.D.
- Neurology Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- E-14284
- Practice address
- 7301 Rogers Ave
Fort Smith, AR 72903-4100 - Phone
- (479) 314-6000
- Fax
- (479) 314-5185
- NPI assigned
- Jun 9, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | LP03774 | RI | |
| Neurology Physician | 2084N0400X | E-14284 | AR | Primary |
Addresses
Primary practice location
7301 Rogers Ave
Fort Smith, AR 72903-4100
Mailing address
10102 Stephens CT
Fort Smith, AR 72908-9339
Phone (479) 806-0240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Arkansas College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 237-4200
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175
Hospital & facility affiliations
- Mercy Hospital Fort Smith
- Mercy Hospital Northwest Arkansas
- Mercy Hospital Southeast
- Mercy Hospital Ada
- Mercy Hospital Ardmore, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-14284 | AR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Aco Clinical Services Inc | Neurology | Current | Accepting new patients |
Locations
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
7303 Rogers Ave
Ste 101
Fort Smith, AR 72903
Phone (479) 314-4620
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
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.
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
- General Acute Care Hospital
- Ada, OK
- NPI 1952643306
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1104275239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10102 STEPHENS CT",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729089339",
"telephone_number": "479-806-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034100",
"telephone_number": "479-314-6000",
"fax_number": "479-314-5185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIDION",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "RI",
"license": "LP03774",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AR",
"license": "E-14284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.