Active NPI
Elizabeth A Hutson, MD
- Family Medicine Physician
- Waldron, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-16569
- Practice address
- 1341 W 6TH St
Waldron, AR 72958-7642 - Phone
- (479) 637-2136
- Fax
- (479) 637-5411
- NPI assigned
- May 29, 2020
- Last updated
- Sep 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 84377 | SC | |
| Family Medicine Physician | 207Q00000X | E-16569 | AR | Primary |
Addresses
Primary practice location
1341 W 6TH St
Waldron, AR 72958-7642
Mailing address
1341 W 6TH St
Waldron, AR 72958-7642
Phone (479) 637-2136
Other practice location 1
155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehutson289202@selfregional.direct-ci.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Walnut Ave
Mansfield, AR 72944-3522
Phone (479) 928-4404
1341 W 6TH St
Waldron, AR 72958-7642
1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-16569 | AR | MD | Family Medicine Physician |
| 84377 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Mercy Hospital Booneville | Current | Accepting new patients | |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Hospital Booneville | Current | Accepting new patients | |
| Self Medical Group | Past | Accepting new patients |
Locations
128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455
880 W Main St
Booneville, AR 72927
Phone (479) 675-2800
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136
Organizations & group practices 8
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.
-
- Emergency Care Clinic/Center
- Waldron, AR
- NPI 1730137134
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Certified Registered Nurse Anesthetist
- Booneville, AR
- NPI 1083004733
-
- Critical Access Hospital
- Booneville, AR
- NPI 1992133714
-
- Physical Therapist
- Alma, AR
- NPI 1518936418
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
- Rural Health Clinic/Center
- Waldron, AR
- NPI 1043268451
-
dba Advanced Gastroenterology
- Gastroenterology Physician
- Greenwood, SC
- NPI 1841047560
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health - Fort Smith
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
-
dba Elite Home Health
- Home Health Agency
- Mena, AR
- NPI 1649354960
-
- Critical Access Hospital
- Booneville, AR
- NPI 1992133714
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
- Critical Access Hospital
- Waldron, AR
- NPI 1912978875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1801410527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 W 6TH ST",
"city": "WALDRON",
"state": "AR",
"postal_code": "729587642",
"telephone_number": "479-637-2136",
"fax_number": "479-637-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1341 W 6TH ST",
"city": "WALDRON",
"state": "AR",
"postal_code": "729587642",
"telephone_number": "479-637-2136",
"fax_number": "479-637-5411"
}
],
"practiceLocations": [
{
"address_1": "155 Academy Ave",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296463869",
"country_code": "US",
"telephone_number": "864-725-4865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTSON",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-29",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "84377",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-16569",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ehutson289202@selfregional.direct-ci.net",
"affiliation": "N",
"address_1": "155 Academy Ave",
"city": "Greenwood",
"state": "SC",
"country_code": "US",
"postal_code": "296463869",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waldron, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.