Active NPI
Carson Ryan York, PA
- Medical Physician Assistant
- Salem, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 115 Turner LN
Salem, AR 72576-5600 - Phone
- (870) 895-3238
- Fax
- (870) 895-3356
- NPI assigned
- Aug 13, 2018
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
115 Turner LN
Salem, AR 72576-5600
Mailing address
PO Box 648
Salem, AR 72576-0648
Phone (870) 895-3238
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181106003047 | AR | Practitioner - Physician Assistant | 8628320082 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Turner LN
Salem, AR 72576-5600
Phone (870) 895-3238
3519 Hwy 63
Black Rock, AR 72415-9022
Phone (870) 878-4005
3809 E 9TH St
Suite 15
Texarkana, AR 71854-5818
Phone (870) 621-0080
4196 Hwy 62 412
Suite a
Hardy, AR 72542-8002
Phone (870) 994-7301
49 Hwy 62 412
Ash Flat, AR 72513-9594
Phone (870) 994-7301
Hospital & facility affiliations
- Baxter Health Fulton County Hospital
- Baxter Health
- White River Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Bibb MD PLLC | Current | Accepting new patients | |
| Bradley Bibb MD PLLC | Current | Accepting new patients | |
| Bradley Bibb MD PLLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
115 Turner Ln
Salem, AR 72576
Phone (870) 859-3238
3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080
Interoperability endpoints
- carson.york.1@2424.direct.athenahealth.com
- carson.york.1@9282.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Texarkana, AR
- NPI 1871346064
-
- Rural Health Clinic/Center
- Chickasha, OK
- NPI 1013724764
-
- Rural Health Clinic/Center
- Black Rock, AR
- NPI 1437569837
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
Hospital
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
Hospital
-
- Orthopaedic Surgery Physician
- Batesville, AR
- NPI 1265821193
Hospital
-
- Pain Medicine (Anesthesiology) Physician
- Batesville, AR
- NPI 1558447599
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1538648258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 648",
"city": "SALEM",
"state": "AR",
"postal_code": "725760648",
"telephone_number": "870-895-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TURNER LN",
"city": "SALEM",
"state": "AR",
"postal_code": "725765600",
"telephone_number": "870-895-3238",
"fax_number": "870-895-3356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "CARSON",
"middle_name": "RYAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.
- 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.