Scott William Babcock

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C003178 Issued in AR

Practice address

603 N Progress Ave
Siloam Springs, AR 72761-4352

Phone

(316) 300-0109

NPI assigned

Oct 9, 2014

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 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastro Anesthesia PLLCGroup PAC ID 3577727700, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Gastro Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1366700890

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Northeast Arkansas Clinic Charitable Foundation, Inc.

  • Anesthesiology Physician
  • Jonesboro, AR
  • NPI 1992036032
  NPD (past)

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255735973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 BONNIE SCOTLAND DR",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727535001",
            "telephone_number": "316-300-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N PROGRESS AVE",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614352",
            "telephone_number": "316-300-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C003178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200726500A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218819001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laney Rae Amos
• Scott Eric Anglin, LPC
• Arkansas Dental Associates, P.L.L.C.
• Stan R Atkinson, MHPP
• Aw Therapy Service, LLC
• Lila Baker, LPC
• Tracy L Baranauskas
• Briana Kathlyn Barganier, PHARMD
• Katelyn Elizabeth Barker, BCBA
• Mary Helen Barker

• Certified Registered Nurse Anesthetist in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.