NPIMap

Individual provider Active NPI

Stanley C Burns, M.D.

  • Family Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1053424515
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N-5900 Issued in AR
Practice address
4509 E McCain Blvd
North Little Rock, AR 72117-2902
Phone
(501) 945-4200
Fax
(501) 945-0906
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N-5900 AR Primary

Addresses

Primary practice location

4509 E McCain Blvd
North Little Rock, AR 72117-2902

Mailing address

4509 E McCain Blvd
North Little Rock, AR 72117-2902
Phone (501) 945-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000745 AR Practitioner - Family Practice 1254506744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Hills Family Clinic PAGroup PAC ID 8820991011, 3 clinicians

Practice addresses (Care Compare)

4601 E McCain Blvd
North Little Rock, AR 72117-2904
Phone (501) 945-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N-5900ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Hills Family Clinic PA Family Medicine CurrentSince Feb 1, 1997 Accepting new patients
St. Vincent Medical Group Family Medicine PastSince Mar 9, 2012 Accepting new patients
Maumelle Medical Clinic Family Medicine Past Accepting new patients

Locations

4601 E McCain Blvd
North Little Rock, AR 72117
Phone (501) 945-0906

4509 E McCain Blvd
North Little Rock, AR 72117
Phone (501) 945-4200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGFADA/Endpoint/FGFADA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1053424515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 E MCCAIN BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172902",
            "telephone_number": "501-945-4200",
            "fax_number": "501-945-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 E MCCAIN BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172902",
            "telephone_number": "501-945-4200",
            "fax_number": "501-945-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "STANLEY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "N-5900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.