ST. VINCENT INFIRMARY MEDICAL CENTER (NPI# 1134513906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134513906 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT INFIRMARY MEDICAL CENTER |
| Practice Address |
2215 Wildwood Ave Sherwood AR 72120-5089 |
| Mailing Address |
Po Box 22720 Little Rock AR 72221-2720 |
| Practice Telephone | 5015527100 |
| Mailing Telephone | 5015223000 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-05-15 |
| Authorized Official Name | TADD M RICHERT (SR. VP AND CFO) |
| Authorized Official Telephone | 5015223912 |
| Is Organization Subpart | Y |
| Parent Organization Name | CATHOLIC HEALTH INITIATIVES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 105393002 | 05 |
| 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 |
| 1023381738 | St. Vincent Infirmary Medical Center | Clinic/Center | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2012-02-13 |
| 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 |
2215 WILDWOOD AVE |
| City | SHERWOOD |
| State | AR |
| Zip Code | 72120-5089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942290481 | Kathryn T Chenault | Psychiatry & Neurology | 2215 Wildwood Ave, Suite 200, Sherwood, AR 72120-5089 | 2005-10-26 |
| 1205458189 | Shiloh Emergency Group Pllc | Physician Assistant | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2020-05-13 |
| 1790317220 | Jessaca Hope | Nurse Practitioner | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2020-02-12 |
| 1083176564 | Theresia Garcia | Neurological Surgery | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2019-04-03 |
| 1407359862 | Meredith Dawn Stogner | Nurse Practitioner | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2018-03-13 |
| 1558880153 | Innovative Psychological Services, Inc. | Clinic/Center | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2017-09-14 |
| 1720512668 | Jenna Rae Valovich | Nurse Practitioner | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2017-04-18 |
| 1609281070 | Terra Nicole Mcguire | Nurse Practitioner | 2215 Wildwood Ave, #204, Sherwood, AR 72120-5089 | 2014-06-24 |
| 1265870885 | Arkansas River Emergency Services LLC | Emergency Medicine | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2013-06-05 |
| 1255688362 | Erick L Lane | Physical Therapist | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2012-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215409818 | Mary Kaye Hill | Physical Therapist | 6020 Warden Road, Sherwood, AR 72120 | 2018-12-20 |
| 1043714694 | Healthcare Express, LLP | Clinic/Center | 1554 Country Club Road, Sherwood, AR 72120 | 2018-03-20 |
| 1265957690 | Darryl Nathaniel Griffith | Massage Therapist | 9871 Brockington Road, Suite #1, Sherwood, AR 72120 | 2017-08-07 |
| 1669841011 | Sarah Katherine Stephenson | Pharmacist | 102 Brockington Rd, Sherwood, AR 72120 | 2015-09-16 |
| 1063803328 | The Legacy for Children and Families | Counselor | 190 Jan Drive, Suite #10, Sherwood, AR 72120 | 2015-02-09 |
| 1417297235 | Andrew Hunter Beavers | Counselor | 37 Walton Rd., Sherwood, AR 72120 | 2013-02-15 |
| 1003156886 | Infinity Hearing Center Inc. | Hearing Aid Equipment | 3115 E Kiehl Ave, Suite B, Sherwood, AR 72120 | 2013-02-15 |
| 1548543234 | Lorrie Ann George | Early Intervention Provider Agency | 207 Fred Rains Drive, Sherwood, AR 72120 | 2011-09-20 |
| 1033411897 | Tessa Monique Davis | Occupational Therapist | 21 Gunstock Lane, North Little Rock, AR 72120 | 2010-11-30 |
| 1720307903 | Yousef Arfan Fahoum | Psychologist | 2215 Wildwood Ave Ste 200, Sherwood, AR 72120 | 2010-05-27 |
| Find all providers in zip 72120 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265870885 | Arkansas River Emergency Services LLC | Emergency Medicine | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2013-06-05 |
| 1497068381 | Arkansas Emergency Group Pllc | Emergency Medicine | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198554 | Richard Lister Calleton | Emergency Medicine | 656 Polk Road 63, Mena, AR 71953-4447 | 2019-11-12 |
| 1780187302 | Samuel G Waters | Emergency Medicine | 512 Farr Shores Dr, Hot Springs, AR 71913-9622 | 2018-03-09 |
| 1689101099 | Sterling Thornton Brown | Emergency Medicine | 4803 Jefferson Ave, # 126, Texarkana, AR 71854-1143 | 2017-05-16 |
| 1669907051 | David Crow | Emergency Medicine | 4301 W Makham St., Little Rock, AR 72205 | 2017-04-24 |
| 1811429772 | Meredith Kathleen Von Dohlen | Emergency Medicine | 4301 W Markham St, Slot 584, Little Rock, AR 72205-7199 | 2017-03-30 |
| 1972034775 | Brandon Keith Vick | Emergency Medicine | 612 South 12th St., Family Medicine Uams-west, Fort Smith, AR 72901 | 2017-03-23 |
| 1760839120 | Nana-aishatu U Adamu | Emergency Medicine | 1401 S State St Ste C, Pine Bluff, AR 71601-5827 | 2016-05-16 |
| 1154784882 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 5510 S Olive Street, Pine Bluff, AR 71603-7607 | 2016-03-31 |
| 1649632886 | Cesar Hurtado | Emergency Medicine | 2158 Butterfield Coach Rd, Springdale, AR 72764-9142 | 2016-03-26 |
| 1306216932 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 5505 John F Kennedy Blvd, North Little Rock, AR 72116-6707 | 2015-09-25 |
| Find all providers with the same taxonomy | ||||
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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.