Active NPI
Terri Blackstock, M.D.
- Gastroenterology Physician
- Hot Springs, AR
National Provider Identifier
1881696433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- N8309
- Practice address
- 124 Sawtooth Oak St
Hot Springs, AR 71901-7160 - Phone
- (501) 623-7800
- Fax
- (501) 623-7866
- NPI assigned
- Aug 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | N8309 | AR | Primary |
Addresses
Primary practice location
124 Sawtooth Oak St
Hot Springs, AR 71901-7160
Mailing address
124 Sawtooth Oak St
Hot Springs, AR 71901-7160
Phone (501) 623-7800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5K269 | Other | AR | BCBS |
| 146525002 | Medicaid | AR |
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
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Arkansas College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
124 Sawtooth Oak St
Hot Springs, AR 71901-7160
Phone (501) 623-7800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 172 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 177 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N8309 | AR | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Park Gi Services LLC | Gastroenterology | Current | Accepting new patients |
| National Park Endoscopy Center, LLC | Past | Accepting new patients |
Locations
124 Sawtooth Oak St
Hot Springs National Park, AR 71901
Phone (501) 623-7800
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Hot Springs, AR
- NPI 1215398706
-
- Ambulatory Surgical Clinic/Center
- Hot Springs, AR
- NPI 1588802987
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1316144546
-
- General Practice Physician
- Hot Springs, AR
- NPI 1497880124
Hospital
-
- Psychiatric Hospital Unit
- Hot Springs, AR
- NPI 1619915949
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1689628232
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1841241833
-
- Critical Access Hospital
- Mena, AR
- NPI 1861449639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1881696433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 SAWTOOTH OAK ST",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719017160",
"telephone_number": "501-623-7800",
"fax_number": "501-623-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 SAWTOOTH OAK ST",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719017160",
"telephone_number": "501-623-7800",
"fax_number": "501-623-7866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKSTOCK",
"first_name": "TERRI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "N8309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5K269",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146525002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.