Active NPI
Dennis R Burrow, M.D.
- Emergency Medicine Physician
- Little Rock, AR
National Provider Identifier
1467615542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C-5378
- Practice address
- 311 N Elm St
Little Rock, AR 72205-5543 - Phone
- (501) 227-8439
- NPI assigned
- Jul 8, 2008
- Last updated
- Mar 10, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C-5378 | AR | Primary |
Addresses
Primary practice location
311 N Elm St
Little Rock, AR 72205-5543
Mailing address
311 N Elm St
Little Rock, AR 72205-5543
Phone (501) 227-8439
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104775001 | Medicaid | AR | |
| 50799 | Other | AR | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161221001783 | NE | Practitioner - Emergency Medicine | 8527129238 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-5378 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicot Memorial Hospital | Past | Accepting new patients | |
| Baptist Health | Past | Accepting new patients | |
| Genesis Emergency Medicine Services LLC | Emergency Medicine | Past | Accepting new patients |
| North Division Street Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| McGehee Desha County Hospital | Past | Accepting new patients | |
| Baptist Health | Past | Accepting new patients |
Interoperability endpoints
- dburrow59778@surescripts.sfmc.net
- eshdburro@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.
-
dba BMC Physician Clinic
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1578593067
-
dba BH Cancer Center - Heber Springs
- Multi-Specialty Clinic/Center
- Heber Springs, AR
- NPI 1932081221
-
- Critical Access Hospital
- Lake Village, AR
- NPI 1497701973
-
- Emergency Medicine Physician
- Blytheville, AR
- NPI 1750661500
-
- Emergency Medicine Physician
- Atoka, OK
- NPI 1669425682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236643200000",
"number": "1467615542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 N ELM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055543",
"telephone_number": "501-227-8439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N ELM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055543",
"telephone_number": "501-227-8439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROW",
"first_name": "DENNIS",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2009-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "C-5378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104775001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "50799",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.