Todd Firmatura, MD
Individual provider Active NPI Family Medicine Physician · White Hall, AR
NPI 1326545401 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1326545401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E-14366 (AR)
- Practice address
- 1600 W Holland Ave Ste 202
White Hall, AR 71602-9221 - Phone
- (870) 850-8080
- Fax
- (870) 850-8082
- NPI assigned
- Apr 6, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Central Primary Care PLLC
Practice addresses (Care Compare)
1300 Braden St
Jacksonville, AR 72076-3719
Phone (501) 985-5900
Hospital & facility affiliations
- Unity Health - Jacksonville
- Baptist Health Medical Center North Little Rock
- Jefferson Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
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 |
|---|---|---|---|---|
| I20210727003205 | AR | Practitioner - Family Practice | 3870996978 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Central Primary Care, PLLC | Family Medicine | Current |
Accepting new patients |
| Physicians Network Inc. | Family Medicine | Past | Accepting new patients |
Locations
1300 Braden St
Jacksonville, AR 72076
Phone (501) 985-5900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-14366 | AR | Yes |
Addresses
Primary practice location
1600 W Holland Ave Ste 202
White Hall, AR 71602-9221
Mailing address
PO Box 2650
Pine Bluff, AR 71613-2650
Phone (870) 541-7211
Other providers in White Hall, AR
- Tequlia Everett
- Family Eyecare Clinic Inc
- Family Medicine of White Hall, P.a.
- Lisa Fellows
- Christopher Dwayne Fields
- Olivia M Fisher
- Tim Alan Fleeman
- Jennifer Fratesi
- Hannah Eliza-Grace Freeman
- Lamarcus Gaddy
All providers in White Hall, 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 20, 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.