JEANMARIE HOUSEHOLDER MD NPI 1659369973

NPI Information

  • NPI: 1659369973
  • Provider Name: JEANMARIE HOUSEHOLDER, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 DODSON AVE
    STE 230
    FORT SMITH, AR
    ZIP 72901
  • Phone: (479) 709-7490

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NPI Details

Jeanmarie Householder, MD is an obstetrics gynecology in Fort Smith, AR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Jeanmarie Householder, MD NPI is 1659369973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 DODSON AVE
STE 230
FORT SMITH, AR
ZIP 72901-182
Phone: (479) 709-7490
Fax: (479) 709-7495

The NPI 1659369973 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Fitting and insertion of vaginal support device (HCPCS:57160)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 10/11/2005 and was last updated on 8/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyE3223ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H58408MEDICARE UPINARKANSAS
2100032950AMEDICAIDOKLAHOMA
3146290001MEDICAIDARKANSAS
45M152MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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