Individual provider Active NPI

Sara E McBee, DO

  • Family Medicine Physician
  • Fayetteville, AR
National Provider Identifier
1629006382
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N-7367 Issued in AR
Practice address
3340 N College Ave
Suite 5
Fayetteville, AR 72703-3815
Phone
(479) 443-3536
Fax
(479) 443-3933
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 N-7367 AR Primary

Addresses

Primary practice location

3340 N College Ave
Suite 5
Fayetteville, AR 72703-3815

Mailing address

PO Box 1907
Fayetteville, AR 72702-1907
Phone (479) 443-3536

Other identifiers 3

IdentifierTypeStateIssuer
51952OtherARAR BC/BS
113816003MedicaidAR
P00196411OtherARRR MCR

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
I20180731002021 AR Order and Referring Only - Family PracticePractitioner - Family Practice 4981663499

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N-7367ARMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1629006382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1907",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021907",
            "telephone_number": "479-443-3536",
            "fax_number": "479-443-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 N COLLEGE AVE",
            "address_2": "SUITE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033815",
            "telephone_number": "479-443-3536",
            "fax_number": "479-443-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBEE",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "N-7367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BC/BS",
            "identifier": "51952",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113816003",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00196411",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.