Active NPI
Keith M Lipsmeyer, M.D.
- Family Medicine Physician
- Morrilton, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C-5214
- Practice address
- 1711 E Harding St
Morrilton, AR 72110-4507 - Phone
- (501) 354-4637
- Fax
- (501) 552-5326
- NPI assigned
- Oct 3, 2005
- Last updated
- Feb 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C-5214 | AR | Primary |
Addresses
Primary practice location
1711 E Harding St
Morrilton, AR 72110-4507
Mailing address
PO Box 677
Morrilton, AR 72110-0677
Phone (501) 354-4637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1711 E Harding St
CHI St Vincent Primary Care
Morrilton, AR 72110-4507
Phone (501) 354-4637
4 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 977-2300
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5214 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Anthony's Hospital Association | Family Medicine | Current | Accepting new patients |
| St. Anthony's Hospital Association | Past | Accepting new patients |
Locations
1711 N Business 9
Morrilton, AR 72110
Phone (501) 354-2456
4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300
5125 Northshore Dr
North Little Rock, AR 72118
Interoperability endpoints
- keith.lipsmeyer@svmgs.eclinicaldirectplus.com
- klipsmeyer468756@direct.stlukeshealth.org
Organizations & group practices 3
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.
-
dba Morrilton Hospitalists Group
- Hospitalist Physician
- Morrilton, AR
- NPI 1992137236
-
dba CHI St. Vincent Primary Care-Morrilton
- Rural Health Clinic/Center
- Morrilton, AR
- NPI 1215915459
Family Medicine
-
dba St. Vincent Morrilton
- Critical Access Hospital
- Morrilton, AR
- NPI 1386796670
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI St. Vincent Health at Home
- Home Health Agency
- Morrilton, AR
- NPI 1801167424
-
dba CHI St. Vincent Morrilton
- Critical Access Hospital
- Morrilton, AR
- NPI 1891778049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1528055738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 677",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721100677",
"telephone_number": "501-354-4637",
"fax_number": "501-552-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 E HARDING ST",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721104507",
"telephone_number": "501-354-4637",
"fax_number": "501-552-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSMEYER",
"first_name": "KEITH",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C-5214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morrilton, AR
- Landmark Recovery of Arkansas, LLC
- Lemons Prescription Shop LLC
- Abigail S Lewis
- Life Wellness and Spinal Care, LLC
- Brynda Kay Lilley, BSW SOCIAL WORKER
- Love Every Body Nutrition Counseling LLC
- Jack A Lyon, M.D.
- Angela Lyons, OTR/L
- Magie Eye Clinic of Morrilton, PA (Magie Vision-Hearing Center)
- Magie Eye Clinic of Morrilton,PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.