Individual provider Active NPI

Michael Wayne Escue, MD

  • Obstetrics & Gynecology Physician
  • Russellville, AR
National Provider Identifier
1871559955
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E-4441 Issued in AR
Practice address
105 Skyline Dr
Russellville, AR 72801-3363
Phone
(479) 968-2345
Fax
(479) 890-7125
NPI assigned
Apr 26, 2006
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E-4441 AR Primary

Addresses

Primary practice location

105 Skyline Dr
Russellville, AR 72801-3363

Mailing address

105 Skyline Dr
Russellville, AR 72801-3363
Phone (479) 968-2345

Other identifiers 1

IdentifierTypeStateIssuer
158625001MedicaidAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000993 AR Practitioner - Obstetrics/Gynecology 8820029796 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Physician Services LLCGroup PAC ID 4981698032, 49 clinicians
DHP of Arkansas PAGroup PAC ID 3779731104, 18 clinicians

Practice addresses (Care Compare)

105 Skyline Dr
Russellville, AR 72801-3363
Phone (479) 968-2345

9601 Baptist Health Dr
Little Rock, AR 72205-6321
Phone (501) 202-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Physician Services, LLC CurrentSince Aug 1, 2005 Accepting new patients
St Mary's Physician Services LLC CurrentSince Aug 1, 2005 Accepting new patients
Washington Regional Medical System CurrentSince Jul 1, 2024 Accepting new patients
Washington Regional Medical System CurrentSince Jul 1, 2024 Accepting new patients
Washington Regional Medical System Current Accepting new patients
Obhg Arkansas West PA Obstetrics & Gynecology CurrentSince Nov 1, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Mar 1, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Mar 1, 2024 Accepting new patients
Obhg Arkansas, PA Obstetrics & Gynecology CurrentSince Jul 12, 2019 Accepting new patients
DHP of Arkansas PA Obstetrics & Gynecology CurrentSince Jan 1, 2026 Accepting new patients
Washington Regional Medical System Past Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

114 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 463-2597

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

105 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

Interoperability endpoints

  • Direct secure messaging: mescue23111@washingtonregional.direct-ci.com
  • Direct secure messaging: michael.escue.1@2433.direct.athenahealth.com

Organizations & group practices 12

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1871559955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013363",
            "telephone_number": "479-968-2345",
            "fax_number": "479-890-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013363",
            "telephone_number": "479-968-2345",
            "fax_number": "479-890-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCUE",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-4441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158625001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.