NPIMap

Individual provider Active NPI

Elizabeth Fike, DO

  • Family Medicine Physician
  • Walnut Ridge, AR
National Provider Identifier
1225528540
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-13010 Issued in 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
Last updated
Jul 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 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 E-13010 AR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923000607 AR Practitioner - Family Practice 2860740016 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
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 HospitalGroup PAC ID 9436052917, 12 clinicians
St Bernards Hospital Inc.Group PAC ID 0941105480, 187 clinicians
Five Rivers Medical Center IncGroup PAC ID 1456540194, 37 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-13010ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Five Rivers Medical Center Inc. CurrentSince Jul 1, 2020 Accepting new patients
St Bernards Hospital Inc. CurrentSince Dec 15, 2024 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
Five Rivers Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Lawrence Memorial Health Foundation Inc. CurrentSince Aug 21, 2021 Accepting new patients
Five Rivers Medical Center 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

  • Direct secure messaging: efike@frmc.medalliesdirect.net
  • Direct secure messaging: efike@sbpc.medalliesdirect.net
  • Direct secure messaging: efikeer@sbpc.medalliesdirect.net

Organizations & group practices 9

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1225528540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724760839",
            "telephone_number": "870-886-1265",
            "fax_number": "870-886-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W MAIN ST",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761430",
            "telephone_number": "870-886-1200",
            "fax_number": "870-886-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKE",
        "first_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-13010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Ridge, AR

Sources for this page

Verify at the official NPI Registry.