Individual provider Active NPI

Allison Shipp Booth, M.D.

  • Ophthalmology Physician
  • Mountain Home, AR
National Provider Identifier
1689836652
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E8565 Issued in AR
Practice address
140 Highway 201 N
Mountain Home, AR 72653-3158
Phone
(870) 424-2020
Fax
(870) 425-4840
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E8565 AR Primary

Addresses

Primary practice location

140 Highway 201 N
Mountain Home, AR 72653-3158

Mailing address

140 Highway 201 N
Mountain Home, AR 72653-3158
Phone (870) 424-2020

Other names 1

  • Ms. Allison A Shipp Former name

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
I20140917001583 AR Practitioner - Ophthalmology 1850547761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Eye Center PAGroup PAC ID 8123915832, 3 clinicians

Practice addresses (Care Compare)

360 Hwy 5 N
Mountain Home, AR 72653-3039
Phone (870) 425-2277

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery478
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8565ARMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Home Surgery Center CurrentSince Nov 20, 2016 Accepting new patients
Ozark Eye Center, PA Ophthalmology CurrentSince Nov 20, 2016 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Cook Eye Center Ophthalmology Past Accepting new patients

Locations

360 Highway 5 N
Mountain Home, AR 72653
Phone (870) 425-2277

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 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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1689836652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HIGHWAY 201 N",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533158",
            "telephone_number": "870-424-2020",
            "fax_number": "870-425-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HIGHWAY 201 N",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533158",
            "telephone_number": "870-424-2020",
            "fax_number": "870-425-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "ALLISON",
        "middle_name": "SHIPP",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E8565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "SHIPP",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.