Reginald B Cherry, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R3928 Issued in AR

Practice address

11163 Rock Creek Rd
Mansfield, AR 72944-9618

Phone

(479) 928-4352

Fax

(479) 928-0300

NPI assigned

Apr 17, 2007

Last updated

Feb 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 23, 2015 through Feb 23, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1871718346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11163 ROCK CREEK RD",
            "city": "MANSFIELD",
            "state": "AR",
            "postal_code": "729449618",
            "telephone_number": "479-928-4352",
            "fax_number": "479-928-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11163 ROCK CREEK RD",
            "city": "MANSFIELD",
            "state": "AR",
            "postal_code": "729449618",
            "telephone_number": "479-928-4352",
            "fax_number": "479-928-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "REGINALD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E0854",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "R3928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH880726",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baker Counseling Services LLC
• Tara Baker
• Marilyn I Barr, M.D.
• Heath Nolen Branscum, PHARM.D.
• Larry D. Brown, D.D.S.
• Don's Drug, Inc.
• Larry Kenneth Goodwin, D.C.
• Jeannette Hawkins, OTR
• Health-Wise Pharmacy, PLLC (Health-Wise Pharmacy of Mansfield)
• Elizabeth M Henry, PTA

• Internal Medicine Physician in Mansfield, AR
• Providers in Mansfield, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.