Individual provider Active NPI

Stephen E Carney, M.D.

  • Family Medicine Physician
  • Van Buren, AR
National Provider Identifier
1609815877
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C7466 Issued in AR
Practice address
14 Gothic Ridge Rd
Van Buren, AR 72956-6565
Phone
(479) 474-1100
Fax
(479) 474-0069
NPI assigned
Jun 5, 2006
Last updated
Dec 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C7466 AR Primary

Addresses

Primary practice location

14 Gothic Ridge Rd
Van Buren, AR 72956-6565

Mailing address

14 Gothic Ridge Rd
Van Buren, AR 72956-6565
Phone (479) 474-1100

Other identifiers 1

IdentifierTypeStateIssuer
116829001MedicaidAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000106 AR Practitioner - Family Practice 6204734809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health ServicesGroup PAC ID 0648514133, 103 clinicians

Practice addresses (Care Compare)

1120 Lexington Ave
Fort Smith, AR 72901-5136
Phone (479) 709-7260

1500 Dodson Ave
Fort Smith, AR 72901-5182

209 Pointer TRL W
Van Buren, AR 72956-2238

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7466ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Baptist Health Services Current Accepting new patients

Locations

937 Highway 64 E
Alma, AR 72921
Phone (479) 632-3855

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7120

1500 Dodson Ave
Fort Smith, AR 72901
Phone (479) 441-2600

1500 Dodson Ave
Ste 155
Fort Smith, AR 72901
Phone (479) 573-7940

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1500 Dodson Ave
Ste 60
Fort Smith, AR 72901
Phone (479) 709-7325

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

14 Gothic Ridge Rd
Ste A
Van Buren, AR 72956
Phone (479) 471-1100

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

Interoperability endpoints

  • Direct secure messaging: scarney3025@direct.baptist-healthar.org

Organizations & group practices 2

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 3

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1609815877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GOTHIC RIDGE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566565",
            "telephone_number": "479-474-1100",
            "fax_number": "479-474-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GOTHIC RIDGE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566565",
            "telephone_number": "479-474-1100",
            "fax_number": "479-474-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C7466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116829001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

Verify at the official NPI Registry.