Active NPI
Connie Drapcho, MD
- Hospitalist Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- E-10128
- Practice address
- 3215 N Northhills Blvd
Fayetteville, AR 72703-4424 - Phone
- (479) 463-7102
- Fax
- (479) 463-7864
- NPI assigned
- Mar 29, 2006
- Last updated
- Dec 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 104587 | MO | |
| Hospitalist Physician | 208M00000X | E-10128 | AR | Primary |
Addresses
Primary practice location
3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Mailing address
3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Phone (479) 463-7102
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00964932 | Other | MO | RAIL ROAD MEDICARE |
| 100025940A | Medicaid | OK | |
| 200158 | Other | MO | BCBS |
| 206810517 | Medicaid | MO | |
| 100150210E | Medicaid | KS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-10128 | AR | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCC of El Dorado LLC | Hospitalist | Current | Accepting new patients |
| Washington Regional Medical System | Current | Accepting new patients | |
| Washington Regional Medical System | Hospitalist | Current | Accepting new patients |
| Washington Regional Medical System | Current | Accepting new patients | |
| Ess of El Dorado, LLC | Current | Accepting new patients | |
| Washington Regional Medical System | Past | Accepting new patients | |
| Apogee Medical Group Missouri Inc | Internal Medicine | Past | Accepting new patients |
Locations
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
Organizations & group practices 7
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.
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-
- Hospitalist Physician
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- NPI 1003578725
-
dba Washington Regional Hospital Medicine Group
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-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1235190349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 N NORTHHILLS BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034424",
"telephone_number": "479-463-7102",
"fax_number": "479-463-7864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 N NORTHHILLS BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034424",
"telephone_number": "479-463-7102",
"fax_number": "479-463-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAPCHO",
"first_name": "CONNIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "104587",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AR",
"license": "E-10128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00964932",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100025940A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "200158",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206810517",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100150210E",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.