Individual provider Active NPI

Wesley J Ashabranner, M.D.

  • General Practice Physician
  • Heber Springs, AR
National Provider Identifier
1578542015
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C5558 Issued in AR
Practice address
106 South 7TH Street
Heber Springs, AR 72543
Phone
(501) 362-7538
Fax
(501) 362-7143
NPI assigned
Jan 12, 2006
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C5558 AR Primary

Addresses

Primary practice location

106 South 7TH Street
Heber Springs, AR 72543

Mailing address

106 South 7TH Street
Heber Springs, AR 72543
Phone (501) 362-7538

Other identifiers 1

IdentifierTypeStateIssuer
120463729MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5558ARMDGeneral Practice Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1578542015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SOUTH 7TH STREET",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "72543",
            "telephone_number": "501-362-7538",
            "fax_number": "501-362-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SOUTH 7TH STREET",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "72543",
            "telephone_number": "501-362-7538",
            "fax_number": "501-362-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHABRANNER",
        "first_name": "WESLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "C5558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120463729",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.