NPIMap

Individual provider Active NPI

Ross Eddington Halsted, M.D.

  • Family Medicine Physician
  • Harrison, AR
National Provider Identifier
1578876959
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E7193 Issued in AR
Practice address
1401 Hwy 65 N
Suite 230
Harrison, AR 72601-3911
Phone
(870) 414-5400
Fax
(870) 414-5401
NPI assigned
Jul 14, 2010
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E7193 AR Primary
Obstetrics & Gynecology Physician 207V00000X E7193 AR

Addresses

Primary practice location

1401 Hwy 65 N
Suite 230
Harrison, AR 72601-3911

Mailing address

1401 Hwy 65 N
Suite 230
Harrison, AR 72601-3911
Phone (870) 414-5400

Other identifiers 2

IdentifierTypeStateIssuer
198759001MedicaidAR
5UU32OtherARARKANSAS BLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ross.halsted@nar.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130702000311 AR Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 0345480935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Arkansas Regional Medical CenterGroup PAC ID 5193615896, shared by 10 NPIs, 86 clinicians

Practice addresses (Care Compare)

1401 Hwy 62 65 N
Suite 230
Harrison, AR 72601-1703
Phone (870) 414-5400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E7193ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Clarke, M.D., P.a. Current Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
North Arkansas Regional Medical Center CurrentSince Aug 1, 2017 Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
North Arkansas Regional Medical Center Family Medicine CurrentSince Sep 18, 2023 Accepting new patients
North Arkansas Regional Medical Center Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1401 Highway 62 65 N
Ste 230
Harrison, AR 72601
Phone (870) 414-5400

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

620 N Main St
Ste 2B
Harrison, AR 72601
Phone (870) 414-4000

724 N Spring St
Harrison, AR 72601
Phone (870) 414-4000

724 N Spring St
Ste A
Harrison, AR 72601
Phone (870) 365-0850

724 N Spring St
Ste D
Harrison, AR 72601
Phone (870) 365-0850

Interoperability endpoints

  • Direct secure messaging: ross.halstead@nar.eclinicaldirectplus.com
  • Direct secure messaging: ross.halsted@nar.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Arkansas Regional Medical CenterHarrison, AR, CCN 040017 Hospital Corporate Director Jan 1, 2024
Home Health Agency of NarmcHarrison, AR, CCN 047087 Home health agency Corporate Director Jan 1, 2024
Hospice of the HillsHarrison, AR, CCN 041534 Hospice Corporate Director Jan 1, 2024
Newton County Family PracticeJasper, AR, CCN 043423 Rural health clinic Corporate Director Jan 1, 2020

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1578876959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HWY 65 N",
            "address_2": "SUITE 230",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013911",
            "telephone_number": "870-414-5400",
            "fax_number": "870-414-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HWY 65 N",
            "address_2": "SUITE 230",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013911",
            "telephone_number": "870-414-5400",
            "fax_number": "870-414-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTED",
        "first_name": "ROSS",
        "middle_name": "EDDINGTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E7193",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E7193",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198759001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE SHIELD",
            "identifier": "5UU32",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ross.halsted@nar.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1401 Hwy 65 N",
            "address_2": "Suite 230",
            "city": "Harrison",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726013911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.