Individual provider Active NPI

Steven M Shrum, MD

  • Internal Medicine Physician
  • Harrison, AR
National Provider Identifier
1669430286
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E3565 Issued in AR
Practice address
825 N Main St
Harrison, AR 72601-2914
Phone
(870) 743-4900
Fax
(870) 743-4949
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E3565 AR Primary
Pediatrics Physician 208000000X E3565 AR

Addresses

Primary practice location

825 N Main St
Harrison, AR 72601-2914

Mailing address

825 N Main St
Harrison, AR 72601
Phone (870) 743-4900

Other identifiers 1

IdentifierTypeStateIssuer
149044001MedicaidAR

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
I20040623001623 AR Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8224013040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Arkansas College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Medical Clinic PLLC 2 clinicians

Practice addresses (Care Compare)

825 N Main St
Suite 1
Harrison, AR 72601-2939
Phone (870) 743-4900

Hospital & facility affiliations

  • Home Health Agency of N Ar Regional Med Center Home health agency, Harrison, AR, CCN 047087
  • Elite Home Health Home health agency, Harrison, AR, CCN 047134
  • North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3565ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Medical Clinic PLLC CurrentSince Jun 1, 2005 Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients

Locations

825 N Main St
Ste 1
Harrison, AR 72601
Phone (870) 743-4900

825 N Main St
Harrison, AR 72601
Phone (870) 204-6555

Interoperability endpoints

  • Direct secure messaging: steveshrum@cmcpllc.allscriptsdirect.net

Organizations & group practices 4

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 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1669430286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-743-4900",
            "fax_number": "870-743-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012914",
            "telephone_number": "870-743-4900",
            "fax_number": "870-743-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRUM",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E3565",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E3565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149044001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.