Active NPI
Mark Alan Hewett, M.D.
- Urology Physician
- Rogers, AR
National Provider Identifier
1497810139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C-6422
- Practice address
- 2100 S 54TH St
Rogers, AR 72758-8169 - Phone
- (479) 271-7077
- Fax
- (479) 271-7035
- NPI assigned
- Dec 22, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | C-6422 | AR | Primary |
Addresses
Primary practice location
2100 S 54TH St
Rogers, AR 72758-8169
Mailing address
2100 S 54TH St
Rogers, AR 72758-8169
Phone (479) 271-7077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105365001 | Medicaid | AR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-6422 | AR | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Archie L. Hewett, M.D., P.a. | Urology | Past | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
2100 S 54th St
Rogers, AR 72758
Phone (479) 271-7007
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1326389404
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
-
- Urology Physician
- Fort Smith, AR
- NPI 1073662441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1497810139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 S 54TH ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588169",
"telephone_number": "479-271-7077",
"fax_number": "479-271-7035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 S 54TH ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588169",
"telephone_number": "479-271-7077",
"fax_number": "479-271-7035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWETT",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AR",
"license": "C-6422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105365001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.