Active NPI
Jeffrey M Spear, M.D.
- Emergency Medicine Physician
- Poteau, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 15000
- Practice address
- 105 Wall St
Poteau, OK 74953-4433 - Phone
- (918) 635-3400
- Fax
- (918) 635-3394
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 15000 | OK | Primary |
| Emergency Medicine Physician | 207P00000X | R-4340 | AR |
Addresses
Primary practice location
105 Wall St
Poteau, OK 74953-4433
Mailing address
34001 Berryfrost LN
Poteau, OK 74953-9003
Phone (918) 647-0660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100229820B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Johns Hopkins University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000
Hospital & facility affiliations
- Northwest Medical Center-Springdale
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-4340 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Arkansas Emergency Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Southeast Arkansas Emergency Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| South Arkansas Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| South Arkansas Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Springdale- Bentonville HBP Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| South Arkansas Emergency Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Van Buren Hma Inc | Past | Accepting new patients |
Locations
3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524
1255 S Shiloh Dr
Fayetteville, AR 72701
Phone (479) 757-1760
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100
1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
Organizations & group practices 10
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.
-
- Neonatal-Perinatal Medicine Physician
- Bentonville, AR
- NPI 1811762701
Emergency Medicine
-
- Emergency Medicine Physician
- El Dorado, AR
- NPI 1942435458
-
- Emergency Medicine Physician
- Pine Bluff, AR
- NPI 1922475078
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
-
- Emergency Medicine Physician
- Springdale, AR
- NPI 1184045056
-
- Emergency Medicine Physician
- Siloam Springs, AR
- NPI 1225452055
-
- Emergency Medicine Physician
- Pine Bluff, AR
- NPI 1467817411
-
- Anesthesiology Physician
- Van Buren, AR
- NPI 1093755654
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1477528776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34001 BERRYFROST LN",
"city": "POTEAU",
"state": "OK",
"postal_code": "749539003",
"telephone_number": "918-647-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WALL ST",
"city": "POTEAU",
"state": "OK",
"postal_code": "749534433",
"telephone_number": "918-635-3400",
"fax_number": "918-635-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAR",
"first_name": "JEFFREY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "15000",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "R-4340",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100229820B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.