NPIMap

Organization Active NPI

Unity Health - Newport

Doing business as Unity Health Newport Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Newport, AR
National Provider Identifier
1790424489
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
UNITY HEALTH - NEWPORT
Doing business as
Unity Health Newport Podiatry
Practice address
1117 McLain St Ste 500
Newport, AR 72112-3546
Phone
(870) 523-9100
Fax
(870) 523-9107
NPI assigned
Jun 1, 2022
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITY HEALTH - NEWPORTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Cassie Pool
Title
Credentialing Coordinator
Phone
(501) 278-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1117 McLain St Ste 500
Newport, AR 72112-3546

Mailing address

1117 McLain St Ste 500
Newport, AR 72112-3546
Phone (870) 523-9100

Other practice location 1

3443 Harrison St
Batesville, AR 72501-8820
Phone (870) 523-9100

Other names 1

  • Unity Health Newport Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220426001259 AR Part A Provider - Critical Access Hospital 2567870678 Receives reassigned benefits from 67 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport, AR
O20220719002790 AR Part B Supplier - Clinic/Group Practice 2567870678 Receives reassigned benefits from 65 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790424489. Details of each certification follow.

Hospital certification: CCN 041332

Legal name
UNITY HEALTH - NEWPORT
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 14, 2022
Last certification
Jun 13, 2024
Beds
35
Ownership / control type
Local
Organization structure
CorporationNon-profit
Incorporated
Feb 2, 2021 in AR
Enrollment address
1205 McLain St
Newport, AR 72112-3533
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Unity Health - NewportCCN 041332 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Unity Health - Newport6 organizations share this tax ID, including this one
Part of
Unity Health - Newport

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1117 McLain St
Ste 300
Newport, AR 72112
Phone (870) 495-1260

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
White County Medical Center Organization, Searcy, AR Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2015 100%
Ladonna Elizabeth Johnston Individual Corporate OfficerVP/Administrator Aug 13, 2018 100%
W-2 Managing EmployeeVP/Administrator Aug 13, 2018 100%

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

Affiliated clinicians 75

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1790424489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 MCLAIN ST STE 500",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123546",
            "telephone_number": "870-523-9100",
            "fax_number": "870-523-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MCLAIN ST STE 500",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123546",
            "telephone_number": "870-523-9100",
            "fax_number": "870-523-9107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3443 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "725018820",
            "country_code": "US",
            "telephone_number": "870-523-9100",
            "fax_number": "870-523-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITY HEALTH - NEWPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITY HEALTH - NEWPORT",
        "enumeration_date": "2022-06-01",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "501-278-8346"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Health Newport Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unity Health Newport Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, AR

Sources for this page

Verify at the official NPI Registry.