Active NPI
Luis F Barandiaran, M.D.
- Surgery Physician
- Nashville, AR
National Provider Identifier
1144225145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E3582
- Practice address
- 900 Leslie St
Ste 6
Nashville, AR 71852-4000 - Phone
- (870) 845-3757
- Fax
- (870) 451-9713
- NPI assigned
- Jun 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E3582 | AR | Primary |
Addresses
Primary practice location
900 Leslie St
Ste 6
Nashville, AR 71852-4000
Mailing address
PO Box 508
Nashville, AR 71852-0508
Phone (870) 845-3757
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770278701 | Other | AR | BREASTCARE |
| 800040342 | Other | AR | TRICARE |
| P00053036 | Other | RAILROAD MEDICARE | |
| 148816001 | Medicaid | AR | |
| E3582 | Other | AR | AR MEDICAL BOARD LIC |
| 03030015400 | Other | AR | QUAL CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3582 | AR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 1
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": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1144225145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 508",
"city": "NASHVILLE",
"state": "AR",
"postal_code": "718520508",
"telephone_number": "870-845-3757",
"fax_number": "870-451-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 LESLIE ST",
"address_2": "STE 6",
"city": "NASHVILLE",
"state": "AR",
"postal_code": "718524000",
"telephone_number": "870-845-3757",
"fax_number": "870-451-9713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARANDIARAN",
"first_name": "LUIS",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E3582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BREASTCARE",
"identifier": "770278701",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "800040342",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00053036",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148816001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR MEDICAL BOARD LIC",
"identifier": "E3582",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL CHOICE",
"identifier": "03030015400",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.