Provider Demographics
NPI:1700897600
Name:HIGHSMITH, WILLIAM ARTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ARTIS
Last Name:HIGHSMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 OPPORTUNITY DR
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:AR
Mailing Address - Zip Code:72150-9185
Mailing Address - Country:US
Mailing Address - Phone:870-942-9835
Mailing Address - Fax:870-942-9837
Practice Address - Street 1:21 OPPORTUNITY DR
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:AR
Practice Address - Zip Code:72150-9185
Practice Address - Country:US
Practice Address - Phone:870-942-9835
Practice Address - Fax:870-942-9837
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC8440207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR123754001Medicaid
AR5J168Medicare ID - Type Unspecified
AR123754001Medicaid