Kent A Mason, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

C7948 Issued in AR

Practice address

5330 Willow Creek Dr
Springdale, AR 72762-8702

Phone

(479) 582-9268

Fax

(479) 973-9229

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northwest Arkansas OB/GYN Assoc.,PLC

  • Obstetrics & Gynecology Physician
  • Springdale, AR
  • NPI 1053344234
  NPD Authorized official

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1255332276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 WILLOW CREEK DR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628702",
            "telephone_number": "479-582-9268",
            "fax_number": "479-973-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 WILLOW CREEK DR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628702",
            "telephone_number": "479-582-9268",
            "fax_number": "479-973-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KENT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C7948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125795001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyah Martinez
• Vanessa Martinez
• Yudith Anahi Martinez, M.S., CF-SLP
• Craig F Marvin, APRN
• Ashley Erin Mason, M.D.
• Ewa M Matczak, MD
• Carol Gene Mathews
• John Shannon Mathis
• Jennifer Mane Matousek-Ronck, DDS
• Megan Matsuyama, LPC

• Obstetrics & Gynecology Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.

Verify at the official NPI Registry.