Individual provider Active NPI

Stacy Emmanuel Richardson, D.O., E.D.D.

  • Anesthesiology Physician
  • Paragould, AR
National Provider Identifier
1891968293
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E-6218 Issued in AR
Practice address
1507 Linwood Dr Ste a
Paragould, AR 72450-5818
Phone
(870) 239-8105
Fax
(870) 641-2042
NPI assigned
Apr 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E-6218 AR Primary
Emergency Medicine Physician 207P00000X E-6218 AR

Addresses

Primary practice location

1507 Linwood Dr Ste a
Paragould, AR 72450-5818

Mailing address

1507 Linwood Dr Ste a
Paragould, AR 72450-5818
Phone (870) 239-8105

Other identifiers 1

IdentifierTypeStateIssuer
179973003MedicaidAR

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
I20091202000732 AR Practitioner - AnesthesiologyPractitioner - General PracticePractitioner - Family PracticePractitioner - Emergency Medicine 1850430943 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Emergency Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sark OplGroup PAC ID 7810261088, 5 clinicians

Practice addresses (Care Compare)

1507 Linwood Dr
Paragould, AR 72450-5818
Phone (870) 239-8105

7200 S Hazel St
Pine Bluff, AR 71603-7836

Hospital & facility affiliations

  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75.65 of 100Reported as group
Quality
44.87
Promoting interoperability
100
Improvement activities
40
Cost
73.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sark Opl CurrentSince Jan 1, 2025 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Baptist Memorial Hospital-Jonesboro Inc Current Accepting new patients
Richardson Anesthesia PLLC Anesthesiology Current Accepting new patients
Richardson Healthcare Partners PLLC Anesthesiology Current Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jun 28, 2013 Accepting new patients
Lifelinc Anesthesia V, P.a. Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
White River Health System, Inc. Past Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Past Accepting new patients

Locations

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

1507 Linwood Dr
#A
Paragould, AR 72450
Phone (870) 239-8102

1507 Linwood Dr
Paragould, AR 72450
Phone (870) 239-8105

7200 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-2900

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

Organizations & group practices 10

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.

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": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1891968293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 LINWOOD DR STE A",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505818",
            "telephone_number": "870-239-8105",
            "fax_number": "870-641-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 LINWOOD DR STE A",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505818",
            "telephone_number": "870-239-8105",
            "fax_number": "870-641-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "STACY",
        "middle_name": "EMMANUEL",
        "credential": "D.O., E.D.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-6218",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-6218",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179973003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.