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DR. SHANNON R. CARD MD NPI 1861582207


NPI Information

NPI: 1861582207
Provider Name: DR. SHANNON R. CARD, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
207 CARTER ST
BERRYVILLE, AR
ZIP 72616
Phone: (870) 423-6661
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DR. Shannon R. Card, MD is a family medicine in Berryville, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Shannon R. Card, MD NPI is 1861582207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

207 CARTER ST
BERRYVILLE, AR
ZIP 72616-303
Phone: (870) 423-6661
Fax: (870) 423-4374

The enumeration date for this NPI number is 10/14/2006 and was last updated on 7/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineR6D08ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101382001MEDICAIDARKANSAS
250909MEDICARE ID-TYPE UNSPECIFIEDARKANSASAR INDIV. #; GRP. 5B093
3A13626MEDICARE UPINARKANSAS
450909OTHERARKANSASAR BLUE SHIELD #
5201729902MEDICAIDMISSOURI

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: 4/28/2024

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