NPIMap

Individual provider Active NPI

Jeffrey B Marotte, M.D.

  • Urology Physician
  • Conway, AR
National Provider Identifier
1942276316
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
E-4464 Issued in AR
Practice address
495 Hogan Lane
Suite 2
Conway, AR 72034
Phone
(501) 327-5850
Fax
(501) 327-4910
NPI assigned
Feb 27, 2006
Last updated
Jan 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X E-4464 AR Primary

Addresses

Primary practice location

495 Hogan Lane
Suite 2
Conway, AR 72034

Mailing address

495 Hogan Lane
Suite 2
Conway, AR 72034
Phone (501) 327-5850

Other identifiers 1

IdentifierTypeStateIssuer
159858001MedicaidAR

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
I20050830000709 AR Practitioner - Urology 5294766135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Arkansas College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Urology, P.a.Group PAC ID 4082502547, 39 clinicians

Practice addresses (Care Compare)

1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 219-8900

1375 Superior Dr
Conway, AR 72032-7018
Phone (501) 219-8900

2504 W Main St
Suite a
Russellville, AR 72801-2536
Phone (501) 219-8900

4200 Stockton Dr
North Little Rock, AR 72117-2915
Phone (501) 410-1188

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-0140

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4464ARMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Urology, P.a. Urology CurrentSince Aug 1, 2017 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince May 4, 2021 Accepting new patients
Centerview Surgery Center, LLC Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince May 4, 2021 Accepting new patients

Locations

1375 Superior Dr
Conway, AR 72032
Phone (479) 430-1920

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

1300 Centerview Dr
Little Rock, AR 72211
Phone (501) 410-1196

2504 W Main St
Ste A
Russellville, AR 72801
Phone (479) 964-3278

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeffrey.marotte.1@10448.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1942276316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 HOGAN LANE",
            "address_2": "SUITE 2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-327-5850",
            "fax_number": "501-327-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HOGAN LANE",
            "address_2": "SUITE 2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-327-5850",
            "fax_number": "501-327-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROTTE",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "E-4464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159858001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.