William L Hawkins, M.D.
Individual provider Active NPI Family Medicine Physician · Stuttgart, AR
NPI 1720044548 · NPPES record last updated May 20, 2008
Key facts
- NPI
- 1720044548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E3906 (AR)
- Practice address
- 1609 N Medical Dr
Stuttgart, AR 72160-3274 - Phone
- (870) 673-7211
- Fax
- (870) 672-6823
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040415001045 | AR | Practitioner - Family Practice | 2163417544 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3906 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current |
Accepting new patients | |
| Arkansas Health Group | Family Medicine | Current |
Accepting new patients |
| Stuttgart Regional Medical Center | Past | Accepting new patients | |
| Stuttgart Medical Clinic LTD | Family Medicine | Past | Accepting new patients |
| Stuttgart Regional Medical Center | Past | Accepting new patients |
Locations
49 S Broadview St
Ste 1
Greenbrier, AR 72058
Phone (501) 679-4030
9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995
2601 Kavanaugh Blvd
Ste 6
Little Rock, AR 72205
Phone (501) 614-8072
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
1701 Club Manor Dr
#2B
Maumelle, AR 72113
1701 Club Manor Dr
Ste 2B
North Little Rock, AR 72113
Phone (501) 812-7216
3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000
505 W Pershing Blvd
Ste C
North Little Rock, AR 72114
Phone (501) 758-1002
Interoperability endpoints
- whawkins3325@direct.baptist-healthar.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E3906 | AR | Yes |
Addresses
Primary practice location
1609 N Medical Dr
Stuttgart, AR 72160-3274
Mailing address
PO Box 1901
Stuttgart, AR 72160-1901
Phone (870) 673-7211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152572001 | Medicaid | AR | |
| 129734729 | Medicaid | AR | |
| 100907002 | Medicaid | AR | |
| 136428729 | Medicaid | AR | |
| 129735729 | Medicaid | AR | |
| E3906 | Other | AR | LICENSE |
Other providers in Stuttgart, AR
- Paula V Greene
- Lindsay Elizabeth Guest
- Brittany Hampton
- Frederick Hanson
- Taquilla Hatch
- Health Plus
- Sarah Gerrard Helms
- Kenedie Henley
- Joyce Ann Herring
- Janis W Hillman
All providers in Stuttgart, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.