Individual provider Active NPI

Anthony M Fletcher, M.D.

  • Cardiovascular Disease Physician
  • Little Rock, AR
National Provider Identifier
1083608889
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R3679 Issued in AR
Practice address
5315 W 12TH St
Little Rock, AR 72204-1858
Phone
(501) 664-0941
Fax
(501) 666-3956
NPI assigned
Sep 7, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R3679 AR Primary

Addresses

Primary practice location

5315 W 12TH St
Little Rock, AR 72204-1858

Mailing address

5315 W 12TH St
Little Rock, AR 72204-1858
Phone (501) 664-0941

Other identifiers 1

IdentifierTypeStateIssuer
112695001MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000841 AR Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143244673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Cincinnati College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10100 Kanis Rd
Little Rock, AR 72205-6202
Phone (501) 255-6000

15111 Hwy 165
St Vincent Heart Clinic
Scott, AR 72142
Phone (501) 758-5133

1708 N Buerkle St
St Vincent Heart Clinic Arkansas
Stuttgart, AR 72160-2518
Phone (870) 673-1976

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-3000

404 S Bradley St
St Vincent Heart Clinic Arkansas
Warren, AR 71671-3459
Phone (501) 255-6000

5315 W 12TH St
St Vincent Heart Clinic Arkansas
Little Rock, AR 72204-1858
Phone (501) 664-0941

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2720ARMDCardiovascular Disease Physician
R3679ARMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Clinic Arkansas Cardiovascular Disease Current Accepting new patients
St. Vincent Infirmary Medical Center CurrentSince Jan 11, 2010 Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
Baptist Health Cardiovascular Disease CurrentSince Jun 6, 2014 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Jan 11, 2010 Accepting new patients
Baptist Health CurrentSince Jun 6, 2014 Accepting new patients
St Vincent Infirmary Medical Center Past Accepting new patients

Locations

10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

5315 W 12th St
Little Rock, AR 72204
Phone (501) 664-0941

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

1708 N Buerkle St
Stuttgart, AR 72160
Phone (870) 659-8050

Interoperability endpoints

  • Direct secure messaging: afletcher456555@direct.stlukeshealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/226835e4-1cc9-4406-a88a-250212c16ce2/

Organizations & group practices 8

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

Hospital & facility affiliations 2

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083608889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041858",
            "telephone_number": "501-664-0941",
            "fax_number": "501-666-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041858",
            "telephone_number": "501-664-0941",
            "fax_number": "501-666-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "R3679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112695001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.