Stephen K. Blackburn, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

C5367 Issued in AR

Practice address

2801 Medical Center Dr
Pocahontas, AR 72455-9436

Phone

(800) 893-9698

NPI assigned

May 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Emergency Medicine

Education

University of Arkansas College of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Medcare IncGroup PAC ID 5698667624, 53 clinicians

Izard Regional Hospital LLCGroup PAC ID 6709259674, shared by 5 NPIs, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center Heber Springs Hospital, Heber Springs, AR, CCN 041312
• Izard Regional Hospital LLC Hospital, Calico Rock, AR, CCN 041306
• Baptist Health Medical Center-Hot Springs County Hospital, Malvern, AR, CCN 040076
• Baptist Health Medical Center-Stuttgart Hospital, Stuttgart, AR, CCN 041337
• Baptist Health Medical Center-Stuttgart Hospital, Stuttgart, AR, CCN 040072

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baptist Medcare, Inc

  dba Little Rock Emergency Doctors Group

  • Emergency Medicine Physician
  • Little Rock, AR
  • NPI 1699868323
  Medicare reassignment Care Compare group NPD
• Izard Regional Hospital LLC

  • Multi-Specialty Clinic/Center
  • Calico Rock, AR
  • NPI 1619697919
  Medicare reassignment NPD
• Izard Regional Hospital LLC

  • Critical Access Hospital
  • Calico Rock, AR
  • NPI 1871221176
  Medicare reassignment NPD
• Monticello Ess LLC

  • Emergency Medicine Physician
  • Monticello, AR
  • NPI 1184010753
  Medicare reassignment NPD
• Arkansas Emergency Staffing Solutions, Inc

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1275774630
  Medicare reassignment
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AR

  Medicare reassignment
• Izard Regional Hospital, LLC

  dba IRH Medical Group, Norfork Family Medicine

  • Rural Health Clinic/Center
  • Norfork, AR
  • NPI 1275354169
  NPD
• Acs Primary Care Physicians of Arkansas PA

  • Emergency Medicine Physician
  • Hot Springs, AR
  • NPI 1255388351
  NPD (past)
• Baptist Health

  dba BMC Physician Clinic

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1578593067
  NPD (past)
• Baptist Health

  dba BH Cancer Center - Heber Springs

  • Multi-Specialty Clinic/Center
  • Heber Springs, AR
  • NPI 1932081221
  NPD (past)
• Baptist Health Hospitals

  dba BHH Physician Clinic

  • Nutrition Education Nutritionist
  • Stuttgart, AR
  • NPI 1982016028
  NPD (past)
• Forrest City Arkansas Hospital Company, LLC

  dba Forrest City Emergency Medicine Associates

  • Emergency Medicine Physician
  • Forrest City, AR
  • NPI 1043265515
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  dba Baptist Health Medical Center - Heber Springs

  • Critical Access Hospital
  • Heber Springs, AR
  • NPI 1609804822
  Care Compare affiliation
• Baptist Health

  dba Baptist Health Medical Center- Hot Spring County

  • General Acute Care Hospital
  • Malvern, AR
  • NPI 1902868391
  Care Compare affiliation
• Baptist Health Hospitals

  dba Baptist Medical Center Stuttgart

  • Critical Access Hospital
  • Stuttgart, AR
  • NPI 1790773158
  Care Compare affiliation
• Izard Regional Hospital LLC

  • Critical Access Hospital
  • Calico Rock, AR
  • NPI 1871221176
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730147083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 DIAMOND HEAD RD",
            "city": "DRASCO",
            "state": "AR",
            "postal_code": "725309156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559436",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "STEPHEN",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C5367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana M Bennett, LCSW
• Amanda Jane Billingsley, APRN, FNP
• Black River Anesthesia, PLC
• Black River Area Development Corp. Senior Citizens Program
• Black River Area Development Corp. Senior Citizens Program
• Kelley Blackwell, OTR/L
• Janice Kathryn Bonner, LCSW
• Amy Marie Bounds, QBHP
• Amy D. Bradley, D.C.
• Kyla Brandt, OTA

• Emergency Medicine Physician in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Emergency Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.