Active NPI
Joni L. Carmack, M.D.
- Emergency Medicine Physician
- Van Buren, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E-3151
- Practice address
- East Main & South 20TH Street
Van Buren, AR 72957 - Phone
- (479) 474-3401
- Fax
- (479) 471-4388
- NPI assigned
- Jan 11, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E-3151 | AR | Primary |
Addresses
Primary practice location
East Main & South 20TH Street
Van Buren, AR 72957
Mailing address
1004 E Bryan Ave
Sapulpa, OK 74066-4513
Phone (918) 748-7557
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5M145 | Other | AR | BLUECROSS BLUESHIELD |
| 146400001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-3151 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Nes Western Arkansas, Inc | Past | Accepting new patients | |
| Nes Arkansas, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
Organizations & group practices 4
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 Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Emergency Medicine Physician
- Harrison, AR
- NPI 1992898142
-
- Emergency Medical Services (Emergency Medicine) Physician
- Van Buren, AR
- NPI 1982715058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1386623056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 E BRYAN AVE",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740664513",
"telephone_number": "918-748-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EAST MAIN & SOUTH 20TH STREET",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "72957",
"telephone_number": "479-474-3401",
"fax_number": "479-471-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMACK",
"first_name": "JONI",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-3151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "5M145",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146400001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.