NPIMap

Organization Active NPI

Unity Health - Newport

Doing business as Unity Health Newport ER

  • Emergency Medicine Physician
  • Newport, AR
National Provider Identifier
1639813314
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
UNITY HEALTH - NEWPORT
Doing business as
Unity Health Newport ER
Practice address
1205 McLain St
Newport, AR 72112-3533
Phone
(501) 380-3172
NPI assigned
Apr 27, 2022
Last updated
May 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Samuel Henson III
Title
Him Director
Phone
(501) 380-3152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

1205 McLain St
Newport, AR 72112-3533

Mailing address

1205 McLain St
Newport, AR 72112-3533
Phone (870) 523-8911

Other names 1

  • Unity Health Newport ER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220719002790 AR Part B Supplier - Clinic/Group Practice 2567870678 Receives reassigned benefits from 65 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport, AR

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Unity Health - Newport6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1639813314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123533",
            "telephone_number": "870-523-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123533",
            "telephone_number": "501-380-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HEALTH - NEWPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "HIM DIRECTOR",
        "authorized_official_telephone_number": "501-380-3152",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Health Newport ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.