Individual provider Active NPI

Jason Teague Lindsay, MD

  • Urology Physician
  • Mountain Home, AR
National Provider Identifier
1740356153
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
E4783 Issued in AR
Practice address
15 Green Valley Dr
Mountain Home, AR 72653-8102
Phone
(870) 701-0490
Fax
(870) 701-0491
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X E4783 AR Primary

Addresses

Primary practice location

15 Green Valley Dr
Mountain Home, AR 72653-8102

Mailing address

15 Green Valley Dr
Mountain Home, AR 72653-8102
Phone (870) 701-0490

Other identifiers 2

IdentifierTypeStateIssuer
167290001MedicaidAR
E4783OtherARSTATE LICENSE

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
I20070404000322 AR Practitioner - Urology 3274637079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Louisiana State University School of Medicine in New Orleans, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter Regional Enterprises, LLCGroup PAC ID 3476945528, 16 clinicians

Practice addresses (Care Compare)

15 Green Valley Dr
Suite 100
Mountain Home, AR 72653-8102
Phone (870) 701-4090

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027
  • Baxter Health Fulton County Hospital Hospital, Salem, AR, CCN 041322
  • White River Medical Center Hospital, Batesville, AR, CCN 040119
  • Stone County Medical Center Hospital, Mountain View, AR, CCN 041310
  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4783ARMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital Inc Current Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Apr 1, 2008 Accepting new patients
Baxter Regional Enterprises, LLC CurrentSince Jul 1, 2024 Accepting new patients
Mountain Home Urology, P.a. Urology CurrentSince Jan 23, 2018 Accepting new patients
Baxter County Regional Hospital Inc. Urology CurrentSince Apr 1, 2008 Accepting new patients
Baxter Regional Enterprises, LLC CurrentSince Jul 1, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

15 Green Valley Dr
#100
Mountain Home, AR 72653
Phone (870) 701-0490

628 Hospital Dr
Ste 2B
Mountain Home, AR 72653
Phone (870) 508-2950

15 Green Valley Dr
Mountain Home, AR 72653
Phone (870) 425-6991

628 Hospital Dr
Ste 3A
Mountain Home, AR 72653
Phone (870) 425-1787

628 Hospital Dr
Ste 112
Mountain Home, AR 72653
Phone (870) 425-8288

505 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-3545

628 Hospital Dr
Ste E
Mountain Home, AR 72653
Phone (870) 424-4710

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

414 W Old Main St
Yellville, AR 72687
Phone (870) 424-1000

Interoperability endpoints

  • Direct secure messaging: jason.lindsay@bhcawp.eclinicaldirectplus.com
  • Direct secure messaging: drjasonlindsay@mhu-ar.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baxter HealthMountain Home, AR, CCN 040027 Hospital Other Jul 1, 2023
Baxter Health Home Health Marion CountyCotter, AR, CCN 047338 Home health agency Other Jul 1, 2023
Baxter Health Home HealthCotter, AR, CCN 047016 Home health agency Other Jul 1, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1740356153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GREEN VALLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726538102",
            "telephone_number": "870-701-0490",
            "fax_number": "870-701-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GREEN VALLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726538102",
            "telephone_number": "870-701-0490",
            "fax_number": "870-701-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "JASON",
        "middle_name": "TEAGUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "E4783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167290001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E4783",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.