NPIMap

Individual provider Active NPI

Jonathan C. Robertson, M.D.

  • Family Medicine Physician
  • Newport, AR
National Provider Identifier
1871578500
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-2356 Issued in AR
Practice address
114 Ray St
Newport, AR 72112-4260
Phone
(870) 523-2944
Fax
(870) 523-2998
NPI assigned
Dec 15, 2005
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-2356 AR Primary

Addresses

Primary practice location

114 Ray St
Newport, AR 72112-4260

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other identifiers 4

IdentifierTypeStateIssuer
5L325OtherARBCBS
138481001MedicaidAR
P00780865OtherARRAILROAD MCARE THRU WCMC
P00780865OtherARRAILROAD MCARE THRU WMCM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528001160 AR Practitioner - Emergency MedicinePractitioner - Family Practice 2264413723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Arkansas College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

114 Ray St
Newport, AR 72112-4260
Phone (870) 523-2953

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Dec 1, 2021 Accepting new patients
White County Medical Center Emergency Medicine CurrentSince Jul 24, 2009 Accepting new patients
White County Medical Center CurrentSince Jul 24, 2009 Accepting new patients
Arcare CurrentSince Dec 1, 2021 Accepting new patients
Exigence, LLC Past Accepting new patients
Nes Arkansas, Inc. Emergency Medicine Past Accepting new patients
Dr B. E. Holmes PA Family Medicine Past Accepting new patients
Markham Emergency Physicians LLC Emergency Medicine Past Accepting new patients
General Orthopaedics and Spine Services Past Accepting new patients
Crossett Health Foundation Past Accepting new patients
Sherwood Urgent Care Family Medicine Past Accepting new patients
Crossett Health Foundation Past Accepting new patients
Petite Roche Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

114 Ray St
Newport, AR 72112
Phone (870) 523-2944

114 Ray St
#45
Newport, AR 72112
Phone (870) 523-2953

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

Interoperability endpoints

  • Direct secure messaging: jonathan.robertson@arcare.directbygreenway.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1871578500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 RAY ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721124260",
            "telephone_number": "870-523-2944",
            "fax_number": "870-523-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JONATHAN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-2356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5L325",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138481001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE THRU WCMC",
            "identifier": "P00780865",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE THRU WMCM",
            "identifier": "P00780865",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, AR

Sources for this page

Verify at the official NPI Registry.