Patric Anderson, MD
Individual provider Active NPI Emergency Medicine Physician · Fort Smith, AR
NPI 1730128935 · NPPES record last updated Dec 30, 2008
Key facts
- NPI
- 1730128935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- E-2148 (AR)
- Practice address
- 7301 Rogers Ave
Fort Smith, AR 72903-4100 - Phone
- (479) 314-6000
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Arkansas College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Fort Smith Communities
Mercy Northwest Arkansas Ambulatory Services, LLC
Practice addresses (Care Compare)
4600 Rogers Ave
Fort Smith, AR 72903-3149
Phone (479) 431-3600
4620 Rogers Ave
Suite 101
Fort Smith, AR 72903-3121
Phone (479) 384-5380
7001 Rogers Ave
Suite 200
Fort Smith, AR 72903-4022
Phone (479) 314-4620
Hospital & facility affiliations
- Heart of Hospice, LLC
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 |
|---|---|---|---|---|
| I20040223000952 | AR | Practitioner - Emergency Medicine | 7810883337 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Northwest Arkansas Ambulatory Services LLC | Current |
Accepting new patients | |
| Mercy Hospital Booneville | Current |
Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients | |
| Mercy Hospital Booneville | Current |
Accepting new patients | |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Mercy Hospital Booneville | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Past | Accepting new patients | |
| Benton Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
| Arkansas Gatewood Emergency Room Services, PA | Emergency Medicine | Past | Accepting new patients |
| St Edward Medical Services, Inc. | Past | Accepting new patients | |
| Bentonville Radiology Consultants, PLLC | Past | Accepting new patients |
Locations
880 W Main St
Booneville, AR 72927
Phone (479) 675-2800
128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
4620 Rogers Ave
Ste 101
Fort Smith, AR 72903
Phone (479) 384-5380
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
801 W River St
Ozark, AR 72949
Phone (479) 667-4138
500 E Academy St
Paris, AR 72855
Phone (479) 963-6101
2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485
1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E-2148 | AR | Yes |
Addresses
Primary practice location
7301 Rogers Ave
Fort Smith, AR 72903-4100
Mailing address
6830 Peach Dr
Alma, AR 72921-7595
Phone (479) 632-6326
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100142410B | Medicaid | OK | |
| 137508001 | Medicaid | AR |
Other providers in Fort Smith, AR
- Dev Anand
- Christy Anders
- Aimee Anderson
- Anastasia Anderson
- Heidi Anderson
- Sarah Rose Anderson
- Andre J. Nolewajka, MD, PA
- Anita Elaine Andrews
- Lauren Hope Andrews
- Andromeda Emergency Physicians, LLC
All providers in Fort Smith, AR · Emergency 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 Dec 30, 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.