Active NPI
Russell Paul Tarr, MD
- Emergency Medicine Physician
- Little Rock, AR
National Provider Identifier
1831203157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E-4882
- Practice address
- 16221 St Vincent Way
Suite 100
Little Rock, AR 72223 - Phone
- (501) 552-8150
- Fax
- (501) 552-8199
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E-4882 | AR | Primary |
Addresses
Primary practice location
16221 St Vincent Way
Suite 100
Little Rock, AR 72223
Mailing address
16221 St Vincent Way
Suite 100
Little Rock, AR 72223
Phone (501) 552-8150
Other practice location 1
4601 Woodlawn Dr
Little Rock, AR 72205-3860
Phone (501) 664-0769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E4882 | Other | AR | ALLOPATHIC PHYSICIAN LIC |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Petite Roche Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Arkansas Gatewood Emergency Room Services, PA | Emergency Medicine | Past | Accepting new patients |
| Petit Jean Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Caddoes Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Fayetteville, AR
- NPI 1750334603
-
- Emergency Medicine Physician
- Jonesboro, AR
- NPI 1528250560
-
- Emergency Medicine Physician
- Morrilton, AR
- NPI 1316991359
-
- Emergency Medicine Physician
- Little Rock, AR
- NPI 1861504409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1831203157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16221 ST VINCENT WAY",
"address_2": "SUITE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72223",
"telephone_number": "501-552-8150",
"fax_number": "501-552-8199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16221 ST VINCENT WAY",
"address_2": "SUITE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72223",
"telephone_number": "501-552-8150",
"fax_number": "501-552-8199"
}
],
"practiceLocations": [
{
"address_1": "4601 Woodlawn Dr",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722053860",
"country_code": "US",
"telephone_number": "501-664-0769",
"fax_number": "501-960-8987",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARR",
"first_name": "RUSSELL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-4882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLOPATHIC PHYSICIAN LIC",
"identifier": "E4882",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.