Samantha Shipman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E10924 Issued in AR

Practice address

405 Buttercup Dr
Mountain Home, AR 72653

Phone

(870) 425-3030

NPI assigned

Mar 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.shipman@bhcawp.eclinicaldirectplus.com

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.

• Baxter County Regional Hospital Inc

  dba D/B/a Baxter Regional Pulmonology Clinic

  • Pulmonary Disease Physician
  • Mountain Home, AR
  • NPI 1447420997

  Single Specialty

  Medicare reassignment NPD
• Lincoln Paden Medical Group PLLC

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1538112081

  Single Specialty

  Medicare reassignment NPD
• White River Health System, Inc.

  dba White River Health Children's Clinic

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1134298268

  Single Specialty

  Medicare reassignment NPD
• Baxter County Regional Hospital Inc

  dba Baxter Health Comprehensive Women's Clinic

  • Clinic/Center
  • Mountain Home, AR
  • NPI 1598030579
  NPD
• Baxter County Regional Hospital, Inc

  dba Baxter Health College Street Family Clinic

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1316777329

  Single Specialty

  NPD
• White River Health System, Inc.

  dba WRMC General Surgery

  • Surgery Physician
  • Batesville, AR
  • NPI 1992125850

  Single Specialty

  NPD
• Baxter County Regional Hospital Inc

  dba Baxter Health Neurosurgery & Spine Clinic

  • Neurological Surgery Physician
  • Mountain Home, AR
  • NPI 1720515737

  Single Specialty

  NPD (past)
• Baxter County Regional Hospital, Inc

  dba Baxter Health

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1881788933
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1518351428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BUTTERCUP DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532910",
            "telephone_number": "870-425-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BUTTERCUP DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-425-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722023500",
            "country_code": "US",
            "telephone_number": "501-364-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "SAMANTHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-28",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E10924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Brandon Sharp, PHARMD
• Michelle R Sharp, APRN/CNP
• Blair Kristen Sherrill, PT
• Lisa Renee Sherrill, APN
• Shining Stars Pediatric Therapy, Inc.
• Michala Shrable, LMSW
• Shari Simino
• Katelyn Simons
• Randy S. Simpson, D.D.S.
• Dana L Sitkowski

• Pediatrics Physician in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.

Verify at the official NPI Registry.