Individual provider Active NPI

Candace Danette Shafer- Franks, M.D.

  • Pediatrics Physician
  • Forrest City, AR
National Provider Identifier
1437189255
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E4837 Issued in AR
Practice address
901 Holiday Dr
Forrest City, AR 72335
Phone
(870) 633-0880
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E4837 AR
Pediatrics Physician 208000000X E4837 AR Primary

Addresses

Primary practice location

901 Holiday Dr
Forrest City, AR 72335

Mailing address

5565 Petersburg Parkway
Indianapolis, IN 46254
Phone (317) 616-8755

Other names 1

  • Candace Danette Shafer Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061030000347 AR Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2264439553 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Arkansas College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12790 Merit Dr
Suite 200
Dallas, TX 75251-1276

16 Atlantic Ave
Lynbrook, NY 11563-3046

200 Corporate Blvd
Lafayette, LA 70508-3844

200 Corporate Blvd
Lafayette, LA 70508-3870

2340 Hempfling Rd
Morning View, KY 41063-8763

6100 Waterford District Dr
Suite 450
Miami, FL 33126-2037

PO Box
Suite 116127
Carrollton, TX 75007-6127

Pob
Suite 590
Wynne, AR 72396

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4837ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest City Physician Services, PLLC CurrentSince Sep 22, 2019 Accepting new patients
WH Services Arkansas, LLC CurrentSince Aug 26, 2024 Accepting new patients
Forrest City Arkansas Hospital Company, LLC Past Accepting new patients
St Francis Emergency Group LLC Past Accepting new patients

Locations

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHICAA/Endpoint/EHICAA
  • Direct secure messaging: cshaferf@yourcarecommunity.org

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.

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1437189255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 PETERSBURG PARKWAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46254",
            "telephone_number": "317-616-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HOLIDAY DR",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "72335",
            "telephone_number": "870-633-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER- FRANKS",
        "first_name": "CANDACE",
        "middle_name": "DANETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E4837",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E4837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "SHAFER",
            "middle_name": "DANETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forrest City, AR

Sources for this page

Verify at the official NPI Registry.