Active NPI
Matthew Wesley Harrison, MD
- Emergency Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E-14003
- Practice address
- 1701 S Shackleford Rd
Little Rock, AR 72211-4335 - Phone
- (501) 219-7000
- NPI assigned
- Apr 3, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E-14003 | AR | Primary |
Addresses
Primary practice location
1701 S Shackleford Rd
Little Rock, AR 72211-4335
Mailing address
PO Box 165257
Little Rock, AR 72216-5257
Other practice location 1
1901 Encore Way
Benton, AR 72019-8896
Phone (501) 213-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E-14003 | Other | AR | MEDICAL LICENSE |
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
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Shackleford Rd
Little Rock, AR 72211-4335
7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Heart Hospital, LLC | Current | Accepting new patients | |
| Arkansas Heart Hospital, LLC | Current | Accepting new patients | |
| Greenbrier Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
1901 Encore Way
Bryant, AR 72019
Phone (501) 213-4500
1701 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 219-7000
7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671
3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
-
- General Acute Care Hospital
- Bryant, AR
- NPI 1841898293
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
Hospital
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1790775229
-
- General Acute Care Hospital
- Bryant, AR
- NPI 1841898293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1912403445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 165257",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722165257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S SHACKLEFORD RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114335",
"telephone_number": "501-219-7000"
}
],
"practiceLocations": [
{
"address_1": "1901 Encore Way",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "AR",
"postal_code": "720198896",
"country_code": "US",
"telephone_number": "501-213-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRISON",
"first_name": "MATTHEW",
"middle_name": "WESLEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-03",
"last_updated": "2023-03-07",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-14003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "E-14003",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.