Vern Ann Shotts, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C5346 Issued in AR

Practice address

1204 W Kingshighway
Paragould, AR 72450-4143

Phone

(870) 239-5437

Fax

(870) 239-4211

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Child & Adolescent Clinic

  • Specialist
  • Paragould, AR
  • NPI 1831257070
  NPD (past) Authorized official
• Arkansas Methodist Hospital Corporation

  dba Arkansas Methodist Medical Center

  • General Acute Care Hospital
  • Paragould, AR
  • NPI 1437222312
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1881752939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504143",
            "telephone_number": "870-239-5437",
            "fax_number": "870-239-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504143",
            "telephone_number": "870-239-5437",
            "fax_number": "870-239-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTTS",
        "first_name": "VERN",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "C5346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "54834",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Jo Shollenbarger, CCC-SLP
• Ashley Shopher
• Leigh Ann Short, LCSW
• Walter M Short, M.D.
• Culber Mack Shotts, M.D.
• Janet Siebert, LMSW
• Whitney Leigh Siebert
• Kaci Silvey
• Adaiah Adina Simms
• Jessica Lee Sims

• Pediatrics Physician in Paragould, AR
• Providers in Paragould, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.