Dorothee S Mecum, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E-8373 Issued in AR

Practice address

3425 N Futrall Dr Ste 103
Fayetteville, AR 72703-4820

Phone

(479) 332-0700

Fax

(479) 332-0701

NPI assigned

Apr 5, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1124343918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 N FUTRALL DR STE 103",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034820",
            "telephone_number": "479-332-0700",
            "fax_number": "479-332-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 N FUTRALL DR STE 103",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034820",
            "telephone_number": "479-332-0700",
            "fax_number": "479-332-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECUM",
        "first_name": "DOROTHEE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-8373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209873001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard D McWhorter, MD
• Davin Means
• Diana Means
• Emily Means
• Raylin I Means
• Gideon S Mecum, M.D.
• Jon Medders, LCSW
• Medexpress Urgent Care Arkansas, P.a. (MedExpress Urgent Care - Fayetteville, N College Avenue)
• Haley Medford, LCSW
• Medic Rental Inc (Medic Sleep Care)

• Psychiatry Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.

Verify at the official NPI Registry.