Individual provider Active NPI

Ruth Ann Blair, MD

  • Internal Medicine Physician
  • Cabot, AR
National Provider Identifier
1669433520
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E2023 Issued in AR
Practice address
2037 West Main
Cabot, AR 72023
Phone
(501) 843-4555
Fax
(501) 843-7081
NPI assigned
Mar 30, 2006
Last updated
May 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2017

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 E2023 AR Primary
Pediatrics Physician 208000000X E2023 AR

Addresses

Primary practice location

2037 West Main
Cabot, AR 72023

Mailing address

PO Box 1325
Cabot, AR 72023
Phone (501) 843-4555

Other identifiers 1

IdentifierTypeStateIssuer
136707001MedicaidAR

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
I20090209000027 AR Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6800950767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Arkansas College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2037 W Main St
Cabot, AR 72023-7479

Hospital & facility affiliations

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
E2023ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Central Primary Care, PLLC CurrentSince Jan 1, 2009 Accepting new patients
Arkansas Central Primary Care PLLC Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients
Physicians Network Inc Dba Cabot Medical Clinic Past Accepting new patients
Physicians Network Inc. Internal Medicine Past Accepting new patients

Locations

2037 W Main St
Cabot, AR 72023
Phone (501) 843-4555

1300 Braden St
Jacksonville, AR 72076
Phone (501) 985-5900

1300 Braden St
Ste 100
Jacksonville, AR 72076
Phone (501) 985-5900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1669433520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1325",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "72023",
            "telephone_number": "501-843-4555",
            "fax_number": "501-843-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 WEST MAIN",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "72023",
            "telephone_number": "501-843-4555",
            "fax_number": "501-843-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E2023",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E2023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136707001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.