Individual provider Active NPI

Ladd J Scriber, M.D.

  • Urology Physician
  • Jonesboro, AR
National Provider Identifier
1467424580
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C-4406 Issued in AR
Practice address
303 E Matthews Ave
Suite 200
Jonesboro, AR 72401-3150
Phone
(870) 932-2926
Fax
(870) 932-1560
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X C-4406 AR Primary

Addresses

Primary practice location

303 E Matthews Ave
Suite 200
Jonesboro, AR 72401-3150

Mailing address

303 E Matthews Ave
Suite 200
Jonesboro, AR 72401-3150
Phone (870) 932-2926

Other identifiers 2

IdentifierTypeStateIssuer
101719001MedicaidAR
340017800OtherARRAILROAD MEDICARE

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
I20110304000494 AR Practitioner - Urology 4486629508 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-4406ARMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince Jan 1, 2023 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jan 1, 2023 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

1100 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-8500

1007 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 336-0472

303 E Matthews Ave
Ste 100
Jonesboro, AR 72401
Phone (870) 207-2926

Interoperability endpoints

  • Direct secure messaging: lscriber@sbpc.medalliesdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1467424580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MATTHEWS AVE",
            "address_2": "SUITE 200",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013150",
            "telephone_number": "870-932-2926",
            "fax_number": "870-932-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E MATTHEWS AVE",
            "address_2": "SUITE 200",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013150",
            "telephone_number": "870-932-2926",
            "fax_number": "870-932-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIBER",
        "first_name": "LADD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "C-4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101719001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340017800",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.