Active NPI
John C Menard, M.D.
- Emergency Medicine Physician
- Bryant, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C8134
- Practice address
- 3612 Commonwealth Dr
Bryant, AR 72022-7053 - Phone
- (501) 940-0070
- Fax
- (501) 377-9195
- NPI assigned
- Jun 23, 2006
- Last updated
- Feb 28, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C8134 | AR | Primary |
| Internal Medicine Physician | 207R00000X | C8134 | AR |
Addresses
Primary practice location
3612 Commonwealth Dr
Bryant, AR 72022-7053
Mailing address
3612 Commonwealth Dr
Bryant, AR 72022-7053
Phone (501) 940-0070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55535 | Other | AR | BCBS |
| 121554001 | Medicaid | AR |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Shackleford Rd
Little Rock, AR 72211-4335
1901 Encore Way
Arkansas Heart Hospital Encore
Bryant, AR 72019-8896
Phone (501) 213-4500
605 Dave Ward Dr
105 Arkansas Heart Hospital Clinic
Conway, AR 72034-7138
Phone (501) 664-5860
7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C8134 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Arkansas Heart Hospital Rural Health Services, LLC | Current | Accepting new patients | |
| Arkansas Heart Hospital, LLC | Current | Accepting new patients | |
| Arkansas Heart Hospital, LLC | Current | Accepting new patients | |
| Saline Med-Peds Group, Inc | Internal Medicine | Past | Accepting new patients |
Locations
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
1701 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 219-7000
7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671
Organizations & group practices 6
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.
-
dba Arkansas Heart Hospital Clinic
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1548553811
-
dba JCM Medical
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Little Rock, AR
- NPI 1427684075
-
dba Arkansas Heart Hospital Encore
- General Acute Care Hospital
- Bryant, AR
- NPI 1841898293
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arkansas Heart Hospital Clinic
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
Hospital
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1790775229
-
dba Arkansas Heart Hospital Encore
- General Acute Care Hospital
- Bryant, AR
- NPI 1841898293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1346276441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 COMMONWEALTH DR",
"city": "BRYANT",
"state": "AR",
"postal_code": "720227053",
"telephone_number": "501-940-0070",
"fax_number": "501-377-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 COMMONWEALTH DR",
"city": "BRYANT",
"state": "AR",
"postal_code": "720227053",
"telephone_number": "501-940-0070",
"fax_number": "501-377-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENARD",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "C8134",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "C8134",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "55535",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121554001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.