Individual provider Active NPI

David Harrison, M.D.

  • Surgery Physician
  • Mountain Home, AR
National Provider Identifier
1427157478
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E15270 Issued in AR
Practice address
901 Burnett Dr
Mountain Home, AR 72653-2908
Phone
(870) 425-9120
Fax
(870) 424-4470
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E15270 AR Primary

Addresses

Primary practice location

901 Burnett Dr
Mountain Home, AR 72653-2908

Mailing address

3460 E 76TH St
Tulsa, OK 74136-8040
Phone (845) 258-8399

Other identifiers 2

IdentifierTypeStateIssuer
283734001MedicaidAR
02072360MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AR2 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

Enrollment IDStateProvider typePAC IDDetails
I20040525001750 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 4880675909 Reassigns benefits to 1 organization
I20220523001330 AR Practitioner - General Surgery 4880675909 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers New Jersey Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Surgical GroupGroup PAC ID 6901902642, 9 clinicians

Practice addresses (Care Compare)

673 N Main St
Suite D
Salem, AR 72578-9451
Phone (870) 425-9120

901 Burnett Dr
Mountain Home, AR 72653-2908
Phone (870) 425-9120

Hospital & facility affiliations

  • Baxter Health Home Health Home health agency, Cotter, AR, CCN 047016
  • Baxter Health Hospital, Mountain Home, AR, CCN 040027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E15270ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince May 6, 2022 Accepting new patients
Hudson Vista Medical,PC Surgery CurrentSince Feb 26, 2012 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 16, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Ozark Surgical Group Surgery CurrentSince Sep 15, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 16, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince May 6, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities Surgery CurrentSince Jul 16, 2022 Accepting new patients
Advanced Surgical Care, PC Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7001 Rogers Ave
Fl 6
Fort Smith, AR 72903
Phone (479) 314-4619

901 Burnett Dr
Mountain Home, AR 72653
Phone (870) 425-9120

1001 S Horsebarn Rd
Rogers, AR 72758
Phone (479) 273-7700

673 N Main St
Ste D
Salem, AR 72576
Phone (870) 425-9120

19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080

21 Laurel Ave
Ste 210
Cornwall, NY 12518
Phone (845) 534-0008

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0005626
  • Direct secure messaging: davidharrison@osg.allscriptsdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1427157478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 E 76TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368040",
            "telephone_number": "845-258-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532908",
            "telephone_number": "870-425-9120",
            "fax_number": "870-424-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E15270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283734001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02072360",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.