Elizabeth Fike, DO
Individual provider Active NPI Family Medicine Physician · Walnut Ridge, AR
NPI 1225528540 · NPPES record last updated Jul 11, 2021
Key facts
- NPI
- 1225528540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E-13010 (AR)
- Practice address
- 1309 W Main St
Walnut Ridge, AR 72476-1430 - Phone
- (870) 886-1200
- Fax
- (870) 886-5340
- NPI assigned
- May 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 23
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lawrence Memorial Health Foundation Inc
Lawrence Memorial Hospital
St Bernards Hospital Inc.
Five Rivers Medical Center Inc
East Arkansas Emergency Physicians PLLC
Practice addresses (Care Compare)
1309 W Main St
Lawrence Memorial Physician Group
Walnut Ridge, AR 72476-1430
Phone (870) 886-1200
225 E Washington Ave
St Bernards Medical Center
Jonesboro, AR 72401-3119
Phone (870) 972-4100
2801 Medical Ctr Dr
Pocahontas, AR 72455-9436
Phone (870) 892-6204
900 W Kings Hwy
Ar Methodist Medical Center
Paragould, AR 72450-5942
Phone (870) 239-7000
Hospital & facility affiliations
- St Bernards Five Rivers Medical Center
- Lawrence Memorial Hospital
- St Bernards Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200923000607 | AR | Practitioner - Family Practice | 2860740016 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-13010 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| Five Rivers Medical Center Inc | Current | Accepting new patients | |
| Five Rivers Medical Center Inc. | Current |
Accepting new patients | |
| Five Rivers Medical Center | Current |
Accepting new patients | |
| Lawrence Memorial Health Foundation Inc. | Current |
Accepting new patients | |
| St Bernards Hospital Inc. | Current |
Accepting new patients | |
| Lawrence Memorial Health Foundation Inc. | Past | Accepting new patients |
Locations
1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000
2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000
1309 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-1200
310 Falls Blvd S
Wynne, AR 72396
Phone (870) 208-2151
Interoperability endpoints
- efike@sbpc.medalliesdirect.net
- efikeer@sbpc.medalliesdirect.net
- efike@frmc.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-13010 | AR | Yes |
Addresses
Primary practice location
1309 W Main St
Walnut Ridge, AR 72476-1430
Mailing address
PO Box 839
Walnut Ridge, AR 72476-0839
Phone (870) 886-1265
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229443795 | Medicaid | AR |
Other providers in Walnut Ridge, AR
- Varghese Edattukaren
- Benjamin Engelken
- Terri Evans
- Families, Inc. of Arkansas
- Family Clinic Pharmacy, LLC
- Flippo Prescription House Inc.
- Logan Gaither
- Robert Edward Gardner
- Glow Aesthetics and Weight Loss, LLC
- Crystal D Guevara
All providers in Walnut Ridge, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.