Active NPI
Tony A Flippin, MD
- Hematology & Oncology Physician
- Fort Smith, AR
National Provider Identifier
1598780652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- C-4986
- Practice address
- 7001 Rogers Ave
Fort Smith, AR 72903-4073 - Phone
- (479) 314-7490
- Fax
- (479) 314-7494
- NPI assigned
- Jul 12, 2006
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | C-4986 | AR | Primary |
Addresses
Primary practice location
7001 Rogers Ave
Fort Smith, AR 72903-4073
Mailing address
7001 Rogers Ave
Fort Smith, AR 72903-4073
Phone (479) 314-7490
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102550001 | Medicaid | AR | |
| 51711 | Other | AR | BLUE CROSS/BLUE SHIELD PROVIDER NUMBER |
| 90000005 | Other | RR MEDICARE |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- tflippin124874@directb.mercy.net
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1598780652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034073",
"telephone_number": "479-314-7490",
"fax_number": "479-314-7494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034073",
"telephone_number": "479-314-7490",
"fax_number": "479-314-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLIPPIN",
"first_name": "TONY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AR",
"license": "C-4986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102550001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD PROVIDER NUMBER",
"identifier": "51711",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "90000005",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.