John M Rayburn, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

C-7959 Issued in AR

Practice address

24 Norris St
Emergency Dept
Eureka Springs, AR 72632-3541

Phone

(479) 253-7400

NPI assigned

Jul 11, 2006

Last updated

Aug 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR, MO2 enrollments

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 2

Specialty

Emergency Medicine

Education

University of Arkansas College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022
• Siloam Springs Regional Hospital Hospital, Siloam Springs, AR, CCN 040001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4
• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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.

• Springdale- Bentonville HBP Services, LLC

  • Neonatal-Perinatal Medicine Physician
  • Bentonville, AR
  • NPI 1811762701

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Arkansas Healthcare Services LLC

  • Urology Physician
  • Hot Springs, AR
  • NPI 1174582621
  Medicare reassignment NPD
• Baptist Medcare, Inc

  dba Little Rock Emergency Doctors Group

  • Emergency Medicine Physician
  • Little Rock, AR
  • NPI 1699868323
  Medicare reassignment NPD
• Ess of Fordyce LLC

  • Emergency Medicine Physician
  • Fordyce, AR
  • NPI 1821547977
  Medicare reassignment NPD
• Nes Kentucky Inc

  • Emergency Medicine Physician
  • Nashville, AR
  • NPI 1902348048
  Medicare reassignment NPD
• South Arkansas Emergency Physicians LLP

  • Emergency Medicine Physician
  • El Dorado, AR
  • NPI 1942435458
  Medicare reassignment NPD
• White County Medical Center

  dba WCMC ER Physician Group

  • Emergency Medicine Physician
  • Searcy, AR
  • NPI 1437359742
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  AR

  Medicare reassignment NPD
• General John J Pershing Memorial Hospital Association

  dba Pershing Memorial Hospital

  • Critical Access Hospital
  • Brookfield, MO
  • NPI 1417991159
  Medicare reassignment NPD
• General John J Pershing Memorial Hospital Association

  dba Pershing Memorial Hospital

  • Primary Care Clinic/Center
  • Brookfield, MO
  • NPI 1982612461
  Medicare reassignment NPD
• Harrison County Community Hospital District

  dba Bethany Medical Clinic

  • Rural Health Clinic/Center
  • Bethany, MO
  • NPI 1154645745
  Medicare reassignment NPD
• Harrison County Community Hospital District

  dba Harrison County Community Hospital

  • Critical Access Hospital
  • Bethany, MO
  • NPI 1528062569
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Arkansas Hospitals, LLC

  dba Northwest Medical Center

  • General Acute Care Hospital
  • Springdale, AR
  • NPI 1699726695
  Care Compare affiliation
• Siloam Springs Arkansas Hospital Company LLC

  dba Siloam Springs Regional Hospital

  • General Acute Care Hospital
  • Siloam Springs, AR
  • NPI 1902051816
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1346275302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960454",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960454",
            "telephone_number": "800-684-1598",
            "fax_number": "405-844-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NORRIS ST",
            "address_2": "EMERGENCY DEPT",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726323541",
            "telephone_number": "479-253-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C-7959",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AR",
            "license": "C7959",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "AR",
            "license": "C7959",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE THRU GEP",
            "identifier": "P01256888",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118261001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE THRU WCMC",
            "identifier": "P00765216",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Jordan Palmer, COTA/L
• Rebecca S. Paul
• Robert David Paul
• Quigley Emergency Group, PLLC
• Jan Marie Quint, DC
• Rejuvenation
• Retreat at Skyridge
• David William Reuter, LPC
• Draxie Jean Rogers
• Ryan Russell

• Emergency Medicine Physician in Eureka Springs, AR
• Providers in Eureka Springs, AR by specialty
• Emergency Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.
• 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.