Individual provider Active NPI

Thomas J Beasley, MD

  • Emergency Medicine Physician
  • Forrest City, AR
National Provider Identifier
1477580330
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N5884 Issued in AR
Practice address
1204 N Washington St
Forrest City, AR 72335-2121
Phone
(870) 633-7742
Fax
(870) 633-9003
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N5884 AR Primary

Addresses

Primary practice location

1204 N Washington St
Forrest City, AR 72335-2121

Mailing address

PO Box 1617
Forrest City, AR 72336-1617
Phone (870) 633-7742

Other identifiers 2

IdentifierTypeStateIssuer
50361OtherARBCBS PROVIDER NUMBER
50361OtherARMEDICARE PROVIDER NUMBER

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
I20061019000641 AR Practitioner - OphthalmologyPractitioner - Emergency Medicine 4486650132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Emergency Medicine
Education
University of Nebraska College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Arkansas Emergency Medicine PLLCGroup PAC ID 5395285571, 20 clinicians

Practice addresses (Care Compare)

1520 N Division St
Blytheville, AR 72315-1448
Phone (870) 838-7333

Hospital & facility affiliations

  • Great River Medical Center Hospital, Blytheville, AR, CCN 040069

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
82.11
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N5884ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest City Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 2, 2009 Accepting new patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 10, 2024 Accepting new patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 10, 2024 Accepting new patients
Forrest City Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 2, 2009 Accepting new patients
RH Arkansas Emergency Medicine, PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Forrest City Arkansas Hospital Company, LLC Emergency Medicine Past Accepting new patients
St Francis Emergency Group LLC Emergency Medicine Past Accepting new patients
Thomas J. Beasley MD PA PastSince Apr 2, 2001 Accepting new patients

Locations

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

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

611 W Lee Ave
Osceola, AR 72370
Phone (870) 563-7000

Organizations & group practices 8

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 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1477580330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1617",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723361617",
            "telephone_number": "870-633-7742",
            "fax_number": "870-633-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352121",
            "telephone_number": "870-633-7742",
            "fax_number": "870-633-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "N5884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "50361",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "50361",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

Verify at the official NPI Registry.