Individual provider Active NPI

Eric Arbuckle, D.O.

  • Family Medicine Physician
  • Oak Grove, LA
National Provider Identifier
1114372901
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
325874 Issued in LA
Practice address
502 Ross St
Oak Grove, LA 71263-9706
Phone
(318) 428-2358
Fax
(318) 428-2350
NPI assigned
Apr 28, 2016
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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 325874 LA Primary

Addresses

Primary practice location

502 Ross St
Oak Grove, LA 71263-9706

Mailing address

706 Ross St
Oak Grove, LA 71263-9798
Phone (318) 428-6167

Other practice location 1

127 North St
Batavia, NY 14020-1631
Phone (585) 344-5412

Other identifiers 2

IdentifierTypeStateIssuer
325874OtherLALA MEDICAL LICENSE
2549642MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200413003463 WA Practitioner - Family Practice 3274892104 Reassigns benefits to 1 organization
I20210203000209 LA Practitioner - Family Practice 3274892104 Reassigns benefits to 3 organizations
Practice locations: Oak Grove, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Carroll Health Systems, LLCGroup PAC ID 5294627774, shared by 8 NPIs, 21 clinicians

Practice addresses (Care Compare)

706 Ross St
Oak Grove, LA 71263-9798
Phone (318) 428-3237

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6132OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Carroll Health Systems LLC Current Accepting new patients
West Carroll Health Systems LLC CurrentSince Jan 1, 2021 Accepting new patients
West Carroll Health Systems LLC CurrentSince Jan 1, 2021 Accepting new patients
Healthpoint CurrentSince Apr 1, 2020 Accepting new patients
Healthpoint CurrentSince Apr 1, 2020 Accepting new patients
Healthpoint Family Medicine Current Accepting new patients
West Carroll Health Systems LLC Past Accepting new patients
West Carroll Health Systems LLC PastSince Apr 25, 2021 Accepting new patients

Locations

502 Ross St
Oak Grove, LA 71263
Phone (318) 428-2358

706 Ross St
Oak Grove, LA 71263
Phone (318) 428-3237

712 Settoon St
Oak Grove, LA 71263
Phone (318) 428-2341

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

Interoperability endpoints

  • Direct secure messaging: earbuckle@wchs.securechart.com

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 3

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1114372901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-6167",
            "fax_number": "318-428-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639706",
            "telephone_number": "318-428-2358",
            "fax_number": "318-428-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 North St",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140201631",
            "country_code": "US",
            "telephone_number": "585-344-5412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARBUCKLE",
        "first_name": "ERIC",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "325874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA MEDICAL LICENSE",
            "identifier": "325874",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2549642",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Grove, LA

Sources for this page

Verify at the official NPI Registry.