NPIMap

Individual provider Active NPI

Ira D Chatman, MD

  • Pain Medicine (Anesthesiology) Physician
  • Mountain Home, AR
National Provider Identifier
1922073014
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
N7006 Issued in AR
Practice address
17 Medical PLZ
Mountain Home, AR 72653-2918
Phone
(870) 425-6212
Fax
(870) 508-6896
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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 N7006 AR
Pain Medicine (Anesthesiology) Physician 207LP2900X N7006 AR Primary

Addresses

Primary practice location

17 Medical PLZ
Mountain Home, AR 72653-2918

Mailing address

17 Medical PLZ
Mountain Home, AR 72653-2918
Phone (870) 425-6212

Other identifiers 2

IdentifierTypeStateIssuer
113375001MedicaidAR
770079401OtherARBREASTCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000300 AR Practitioner - Pain ManagementPractitioner - Anesthesiology 3274508064 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interventional Pain Management Associates PLLCGroup PAC ID 3779718614, 8 clinicians

Practice addresses (Care Compare)

17 Medical PLZ
Mountain Home, AR 72653-2918
Phone (870) 508-5900

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7006ARMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc CurrentSince Mar 6, 2017 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Mar 6, 2017 Accepting new patients
Baxter County Regional Hospital Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Baxter County Regional Hospital Inc Anesthesiology Past Accepting new patients

Locations

114 E Crandall Ave
#A
Harrison, AR 72601
Phone (870) 365-0003

825 N Main St
Ste 6
Harrison, AR 72601
Phone (870) 508-5907

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

17 Medical Plz
Mountain Home, AR 72653
Phone (870) 425-6212

624 Hospital Dr
#4610
Mountain Home, AR 72653
Phone (870) 508-1810

1402 N Kentucky Ave
West Plains, MO 65775
Phone (417) 256-3717

Interoperability endpoints

  • Direct secure messaging: ira.chatman@bhcawp.eclinicaldirectplus.com
  • Direct secure messaging: ichatman@680.securemail.prognocis.com

Organizations & group practices 7

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 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1922073014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "870-425-6212",
            "fax_number": "870-508-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "870-425-6212",
            "fax_number": "870-508-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMAN",
        "first_name": "IRA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "N7006",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AR",
            "license": "N7006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113375001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREASTCARE",
            "identifier": "770079401",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.