Active NPI
Richard McKelvey, M.D.
- Surgery Physician
- Clarksville, AR
National Provider Identifier
1861438202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C4341
- Practice address
- 2 Medicine Dr
Clarksville, AR 72830-4431 - Phone
- (479) 754-6510
- Fax
- (479) 754-5644
- NPI assigned
- Jun 22, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C4341 | AR | Primary |
Addresses
Primary practice location
2 Medicine Dr
Clarksville, AR 72830-4431
Mailing address
PO Box 440
Clarksville, AR 72830-0440
Phone (479) 754-6510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100921001 | Medicaid | AR | |
| 53559 | Other | AR | BCBS OF ARKANSAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4341 | AR | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861438202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728300440",
"telephone_number": "479-754-6510",
"fax_number": "479-754-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICINE DR",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728304431",
"telephone_number": "479-754-6510",
"fax_number": "479-754-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELVEY",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "C4341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100921001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ARKANSAS",
"identifier": "53559",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.