Arlis Dale Barton, MD
Individual provider Active NPI Family Medicine Physician · Dover, AR
NPI 1528024866 · NPPES record last updated Feb 18, 2015
Key facts
- NPI
- 1528024866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C-5755 (AR)
- Practice address
- 8970 Market St
Dover, AR 72837-9110 - Phone
- (479) 331-3880
- Fax
- (479) 331-3788
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040824001295 | AR | Practitioner - Family Practice | 4880668813 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys Physician Services, LLC | Current |
Accepting new patients | |
| St Mary'S Physician Services LLC | Current |
Accepting new patients | |
| St Marys Physician Services, LLC | Past | Accepting new patients |
Locations
8970 Market St
Dover, AR 72837
Phone (479) 331-3880
101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C-5755 | AR | Yes |
Addresses
Primary practice location
8970 Market St
Dover, AR 72837-9110
Mailing address
8970 Market St
Dover, AR 72837-9110
Phone (479) 331-3880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103920001 | Medicaid | AR |
Other providers in Dover, AR
- 1St Medical Supply, LLC
- Abc Children'S Academy
- Abc Children'S Academy & Developmental Center Dover
- Arkansas Occupational Therapy Services, Inc.
- Toni Chowning
- Blake L Dixon
- Sarah Elaine Dobbs
- Haley Michelle Edwards
- Lakyn Ann George
All providers in Dover, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.