Individual provider Active NPI

Jacob Howard, DO

  • Emergency Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1508362591
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E13601 Issued in AR
Practice address
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone
(479) 314-6241
Fax
(479) 452-0275
NPI assigned
Mar 30, 2018
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X E13601 AR Primary

Addresses

Primary practice location

7301 Rogers Ave
Fort Smith, AR 72903-4100

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (314) 543-6979

Other practice location 1

4301 W Markham St # 584
Little Rock, AR 72205-7101
Phone (501) 686-5515

Other practice location 2

1701 S Shackleford Rd
Little Rock, AR 72211-4335
Phone (501) 219-7000

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
I20210728002686 AR Practitioner - Emergency Medicine 5092063644 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

2710 S Rife Medical LN
Mercy Rogers Hospital
Rogers, AR 72758-1452
Phone (479) 338-8000

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E13601ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron CurrentSince Apr 1, 2024 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Nov 9, 2021 Accepting new patients
Shiloh Emergency Group PLLC Emergency Medicine CurrentSince Nov 9, 2021 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Nov 9, 2021 Accepting new patients
Mercy Hospital Ozark CurrentSince Apr 1, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Mercy Hospital Paris Current Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jul 1, 2021 Accepting new patients
Mercy Hospital Waldron CurrentSince Apr 1, 2024 Accepting new patients
Mercy Hospital Paris CurrentSince Apr 1, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 28, 2023 Accepting new patients
Springdale- Bentonville HBP Services, LLC Emergency Medicine CurrentSince Oct 17, 2024 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jul 1, 2021 Accepting new patients
Mercy Hospital Ozark Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 28, 2023 Accepting new patients
South Arkansas Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Mercy Hospital Booneville CurrentSince Apr 1, 2024 Accepting new patients
Mercy Hospital Fort Smith Past Accepting new patients

Locations

1580 E Centerton Blvd
Bentonville, AR 72712
Phone (479) 553-2150

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

1255 S Shiloh Dr
Fayetteville, AR 72701
Phone (479) 757-1760

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1701 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 219-7000

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

Organizations & group practices 19

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.

View all 19

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1508362591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-543-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "479-314-6241",
            "fax_number": "479-452-0275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 584",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-5515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S Shackleford Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722114335",
            "country_code": "US",
            "telephone_number": "501-219-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JACOB",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E13601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.