Individual provider Active NPI

Ryan A Hueter, DO

  • Family Medicine Physician
  • Springdale, AR
National Provider Identifier
1194967414
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-7604 Issued in AR
Practice address
4962 Elm Springs Rd # Arw5
Springdale, AR 72762-3712
Phone
(479) 318-0161
Fax
(479) 318-0162
NPI assigned
Apr 1, 2009
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 E-7604 AR Primary

Addresses

Primary practice location

4962 Elm Springs Rd # Arw5
Springdale, AR 72762-3712

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (314) 543-6979

Other practice location 1

1102 NW Lowes Ave
Suite #2
Bentonville, AR 72712-8093
Phone (479) 254-8563

Other practice location 2

12300 Chenal Pkwy
Little Rock, AR 72211-2724
Phone (501) 225-6054

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121009000670 AR Practitioner - Family PracticePractitioner - Emergency Medicine 1557510427 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Northwest Arkansas Ambulatory Services, LLCGroup PAC ID 3779827993, 50 clinicians

Practice addresses (Care Compare)

1160 S 40TH St
Springdale, AR 72762-4832
Phone (479) 347-6485

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Arkansas, P.a. Family Medicine CurrentSince Jul 19, 2014 Accepting new patients
South Arkansas Emergency Physicians, LLP CurrentSince Jan 7, 2014 Accepting new patients
Mercy Northwest Arkansas Ambulatory Services LLC CurrentSince Nov 20, 2024 Accepting new patients
South Arkansas Emergency Physicians, LLP CurrentSince Jan 7, 2014 Accepting new patients
Medexpress Urgent Care Arkansas, P.a. Current Accepting new patients
Medexpress Urgent Care Arkansas, P.a. CurrentSince Jul 19, 2014 Accepting new patients
Northwest Benton County Physician Services LLC Family Medicine CurrentSince Oct 8, 2012 Accepting new patients
South Arkansas Emergency Physicians LLP Current Accepting new patients
Mission Family Practice PLLC Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Mercy Health Northwest Arkansas Communities PastSince Nov 20, 2024 Accepting new patients

Locations

1102 NW Lowes Ave
Ste 2
Bentonville, AR 72712
Phone (479) 254-8563

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

3400 SE Macy Rd
Ste 18
Bentonville, AR 72712
Phone (478) 845-0880

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

2744 E Millennium Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 571-6000

12300 Chenal Pkwy
Little Rock, AR 72211
Phone (501) 221-8661

12300 Chenal Pkwy
#C
Little Rock, AR 72211
Phone (501) 221-8661

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1194967414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-543-6979",
            "fax_number": "314-364-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4962 ELM SPRINGS RD # ARW5",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623712",
            "telephone_number": "479-318-0161",
            "fax_number": "479-318-0162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 NW Lowes Ave",
            "address_2": "Suite #2",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727128093",
            "country_code": "US",
            "telephone_number": "479-254-8563",
            "fax_number": "479-254-8564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12300 Chenal Pkwy",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722112724",
            "country_code": "US",
            "telephone_number": "501-225-6054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUETER",
        "first_name": "RYAN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.