Individual provider Active NPI

Sarah Elizabeth Robertson, MD

  • Family Medicine Physician
  • Russellville, AR
National Provider Identifier
1649238262
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3930 Issued in AR
Practice address
101 Skyline Dr
Russellville, AR 72801-3363
Phone
(479) 968-2345
Fax
(479) 890-7152
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Regional Medical Center Inc 129 clinicians

Practice addresses (Care Compare)

1700 Altus St
Suite 110
Conway, AR 72032-4299
Phone (501) 852-1366

437 Denison St
Conway, AR 72034-6127
Phone (501) 327-1325

Hospital & facility affiliations

  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040607000617 AR Practitioner - Family Practice 3870575467 Reassigns benefits to 7 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Conway Regional Medical Center, Inc Family Medicine CurrentSince Oct 30, 2025 Accepting new patients
Dardanelle Regional, LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Conway Regional Medical Center, Inc Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Conway Regional Medical Center Inc Family Medicine Current Accepting new patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients
Conway Regional Medical Center, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients

Locations

2526 Highway 65 S
Ste 203
Clinton, AR 72031
Phone (501) 745-4914

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330

437 Denison St
Conway, AR 72034
Phone (501) 327-1325

1700 Altus St
Ste 110
Conway, AR 72032
Phone (501) 852-1366

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

200 N 3rd St
Ste 1
Dardanelle, AR 72834
Phone (479) 229-6191

Interoperability endpoints

  • Direct secure messaging: sarah.robertson@lpmg.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E3930 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

101 Skyline Dr
Russellville, AR 72801-3363

Mailing address

101 Skyline Dr
Russellville, AR 72801-3363
Phone (479) 968-2345

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
152887001MedicaidAR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2010.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1649238262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013363",
            "telephone_number": "479-968-2345",
            "fax_number": "479-890-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013363",
            "telephone_number": "479-968-2345",
            "fax_number": "479-890-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152887001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.