Individual provider Active NPI

Ernest Mak, M.D.

  • Obstetrics & Gynecology Physician
  • Helena, AR
National Provider Identifier
1750489589
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E-0301 Issued in AR
Practice address
1803 Martin Luther King Jr Dr
Suite D
Helena, AR 72342-8998
Phone
(870) 816-3800
Fax
(870) 816-3801
NPI assigned
Sep 20, 2006
Last updated
Jul 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 41742 TN
Obstetrics & Gynecology Physician 207V00000X E-0301 AR Primary

Addresses

Primary practice location

1803 Martin Luther King Jr Dr
Suite D
Helena, AR 72342-8998

Mailing address

1803 Martin Luther King Jr Dr
Suite D
Helena, AR 72342-8998
Phone (870) 816-3800

Other identifiers 1

IdentifierTypeStateIssuer
300002401MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200630000873 CA Practitioner - Obstetrics/Gynecology 7315039724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, San Francisco School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

400 Old River Rd
Bakersfield, CA 93311-9781
Phone (864) 908-3530

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Sep 1, 2020 Accepting new patients
Vepema Laborist Medical Group, Inc. Obstetrics & Gynecology CurrentSince Jul 1, 2020 Accepting new patients

Locations

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

Interoperability endpoints

  • Direct secure messaging: ernest_m_mak_md@yourcarecommunity.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1750489589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 MARTIN LUTHER KING JR DR",
            "address_2": "SUITE D",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723428998",
            "telephone_number": "870-816-3800",
            "fax_number": "870-816-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 MARTIN LUTHER KING JR DR",
            "address_2": "SUITE D",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723428998",
            "telephone_number": "870-816-3800",
            "fax_number": "870-816-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAK",
        "first_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "41742",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-0301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300002401",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AR

Sources for this page

Verify at the official NPI Registry.