Individual provider Active NPI

Shelley J Warr, M.D.

  • Internal Medicine Physician
  • Mountain Home, AR
National Provider Identifier
1750347258
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E3745 Issued in AR
Practice address
405 Buttercup Dr
Mountain Home, AR 72653-2910
Phone
(870) 425-3030
Fax
(870) 508-8136
NPI assigned
Apr 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E3745 AR Primary

Addresses

Primary practice location

405 Buttercup Dr
Mountain Home, AR 72653-2910

Mailing address

405 Buttercup Dr
Mountain Home, AR 72653-2910
Phone (870) 425-3030

Other identifiers 1

IdentifierTypeStateIssuer
152319001MedicaidAR

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
I20040326001246 AR Practitioner - Internal Medicine 5496647182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Paden Medical Group PLLCGroup PAC ID 7517859291, 7 clinicians
Baxter County Regional Hospital IncGroup PAC ID 3274420971, shared by 17 NPIs, 57 clinicians

Practice addresses (Care Compare)

405 Buttercup Dr
Mountain Home, AR 72653-2910
Phone (870) 425-3030

899 Burnett Dr
Mountain Home, AR 72653-2909
Phone (870) 425-6212

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3745ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Paden Medical Group PLLC Internal Medicine CurrentSince Oct 1, 2003 Accepting new patients
Setters Medical Group PA Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

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

405 Buttercup Dr
Mountain Home, AR 72653
Phone (870) 425-3030

Interoperability endpoints

  • Direct secure messaging: shelley.warr@lpmg.eclinicaldirectplus.com

Organizations & group practices 3

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1750347258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BUTTERCUP DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532910",
            "telephone_number": "870-425-3030",
            "fax_number": "870-508-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BUTTERCUP DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532910",
            "telephone_number": "870-425-3030",
            "fax_number": "870-508-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARR",
        "first_name": "SHELLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E3745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152319001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.