ST. VINCENT INFIRMARY MEDICAL CENTER (NPI# 1316991847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316991847 |
Entity Type | Organization |
Organization Name | ST. VINCENT INFIRMARY MEDICAL CENTER |
Other Organization Name | ST VINCENT NORTH ANESTHESIA GROUP |
Practice Address |
2215 Wildwood Ave Sherwood AR 72120-5089 |
Mailing Address |
400 E 10th St Waconia MN 55387-4552 |
Practice Telephone | 5015527100 |
Mailing Telephone | 9524429770 |
Mailing Fax Number | 9524423630 |
Enumeration Date | 2006-05-20 |
Last Update Date | 2010-04-15 |
Authorized Official Name | JULIE CARPENTER (CEO) |
Authorized Official Telephone | 5015523155 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 149329002 | 05 | |
AR | BLUE CROSS OF AR | 5C759 | 01 |
AR | US DEPT OF LABOR | 171943200 | 01 |
Other Name | Type Code |
---|---|
ST VINCENT NORTH ANESTHESIA GROUP | 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 |
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 |
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 |
1134513906 | St. Vincent Infirmary Medical Center | Emergency Medicine | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2015-03-19 |
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 |
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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 | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194079210 | Daul Anesthesia Inc | Nurse Anesthetist, Certified Registered | W4855 Mustang Dr, Sherwood, WI 54169-9505 | 2012-10-29 |
1558318279 | Gregory Spears | Nurse Anesthetist, Certified Registered | 2215 Wildwood Ave, Sherwood, AR 72120-5089 | 2006-05-28 |
1568434967 | Michelle Dawn Eddington | Nurse Anesthetist, Certified Registered | 2209 Wildwood Ave, C/o North River Surgery Center, Sherwood, AR 72120-5074 | 2006-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184231623 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 3711 Stillman Loop, Bryant, AR 72022-9074 | 2020-09-29 |
1902414584 | Kevin Hannah, LLC | Nurse Anesthetist, Certified Registered | 11446 Mountain Spring Dr, Fayetteville, AR 72701-0422 | 2020-07-20 |
1356961114 | Kayla Brooke Mazzanti | Nurse Anesthetist, Certified Registered | 1401 Scott St Apt 411, Little Rock, AR 72202-5083 | 2020-04-22 |
1396364030 | Caleb Casey Tolbert | Nurse Anesthetist, Certified Registered | 42 Bryson Dr, Ward, AR 72176-9639 | 2020-04-13 |
1013551480 | Polk Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 5800 W 10th St Ste P1, Little Rock, AR 72204-1700 | 2019-10-29 |
1699327841 | Mana Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 3344 N Futrall Dr Ste 3, Fayetteville, AR 72703-4057 | 2019-07-09 |
1275196065 | Amanda Sharrell Thomas | Nurse Anesthetist, Certified Registered | 1 Willow Creek Ln Apt 1111, Jonesboro, AR 72404-8098 | 2019-04-17 |
1700343324 | Benjamin Jeffrey Spillyards | Nurse Anesthetist, Certified Registered | 22020 Dixie Rd, Little Rock, AR 72223-9269 | 2019-03-01 |
1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
1154818292 | Lindy Sanders Page | Nurse Anesthetist, Certified Registered | 4406 Catskill Ave, Benton, AR 72019-4906 | 2018-04-14 |
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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.