ST. VINCENT INFIRMARY MEDICAL CENTER (NPI# 1023381738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023381738 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT INFIRMARY MEDICAL CENTER |
| Other Organization Name | ST. VINCENT HEART CLINIC ARKANSAS |
| Practice Address |
10100 Kanis Rd Little Rock AR 72205-6202 |
| Practice Telephone | 5012256000 |
| Practice Fax Number | 5012556400 |
| Mailing Telephone | 5012256000 |
| Mailing Fax Number | 5012556400 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-14 |
| Authorized Official Name | RAYANNA M MOORE (DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 5015523134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
AR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Vincent Heart Clinic Arkansas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144590522 | St. Vincent Infirmary Medical Center | General Acute Care Hospital | 10100 Kanis Road, Little Rock, AR 72205 | 2012-01-03 |
| 1558337931 | St. Vincent Infirmary Medical Center | Rehabilitation Unit | 6101 Saint Vincent Cir, Little Rock, AR 72205-5340 | 2006-02-27 |
| 1699169466 | St. Vincent Infirmary Medical Center | Emergency Medicine | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2015-03-19 |
| 1134513906 | St. Vincent Infirmary Medical Center | Emergency Medicine | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2015-03-19 |
| 1629011002 | St. Vincent Infirmary Medical Center | General Acute Care Hospital | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2006-06-14 |
| 1790728079 | St. Vincent Infirmary Medical Center | Clinic/Center | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2006-06-14 |
| 1316980691 | St. Vincent Infirmary Medical Center | Skilled Nursing Facility | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2006-06-14 |
| 1922041490 | St. Vincent Infirmary Medical Center | Clinic/Center | 6101 Saint Vincent Cir, Little Rock, AR 72205-5340 | 2006-06-13 |
| 1316991847 | St. Vincent Infirmary Medical Center | Anesthesiology | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2006-05-20 |
| 1548245624 | St. Vincent Infirmary Medical Center | Home Health | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2005-12-12 |
| Street Address |
10100 KANIS RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073576625 | Yalcin Hacioglu | Internal Medicine | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2006-04-06 |
| 1386279032 | Jenelle Wallis | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2020-03-03 |
| 1831721059 | Keely Sparks | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2020-02-05 |
| 1073078648 | Ashley Allison Long | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2019-02-07 |
| 1144771296 | Kayla Beth Ingram-smith | Clinical Nurse Specialist | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2016-10-24 |
| 1093174716 | Callie Reynolds | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2016-02-23 |
| 1619216496 | Sara Ann Thompson | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2013-02-13 |
| 1811236789 | Leah Brazil | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2013-02-12 |
| 1679875017 | Abdel Rahman A Al Emam | Internal Medicine | 10100 Kanis Rd, Little Rock, AR 72205 | 2010-11-17 |
| 1013151273 | Angela Eileen Cartwright | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2009-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700853553 | Cornerstone Clinic for Women | Clinic/Center | 9500 Baptist Health Dr Ste 100, Little Rock, AR 72205-6319 | 2006-03-01 |
| 1437688272 | Rheumatology Partners Pllc | Clinic/Center | 9101 Kanis Rd Ste 200, Little Rock, AR 72205-6455 | 2017-06-06 |
| 1215341201 | Hot Springs Surgery Clinic Pa | Clinic/Center | 11001 Executive Center Dr, Suite 200, Little Rock, AR 72211-4316 | 2014-06-17 |
| 1184956351 | May Women's Health Clinic | Clinic/Center | 500 S University Ave, Suite 305, Little Rock, AR 72205-5302 | 2010-02-12 |
| 1346485141 | Margaret A West, Md, Pllc | Clinic/Center | 9601 Lile Dr, Suite 970, Little Rock, AR 72205-6321 | 2008-12-08 |
| 1356482228 | Arkansas Cardiovascular Surgery Associates,p.a. | Clinic/Center | 9601 Lile Dr, Suite 200, Little Rock, AR 72205-6321 | 2007-02-12 |
| 1013066513 | Chenal Family Practice | Clinic/Center | 11215 Hermitage Rd, Ste 103, Little Rock, AR 72211-3863 | 2007-01-10 |
| 1104994326 | Little Rock Surgical Clinic | Clinic/Center | 500 S University Ave, Suite 317, Little Rock, AR 72205-5302 | 2006-12-04 |
| 1891704524 | Central Arkansas Reproductive Endocrinology Group, Pllc | Clinic/Center | 9101 Kanis Rd, Suite 300, Little Rock, AR 72205-6417 | 2006-08-05 |
| 1477569218 | Arkansas Epilepsy Program | Clinic/Center | 2 Lile Ct, S-100, Little Rock, AR 72205-6221 | 2006-08-01 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.