St Vincent Physician Clinics LLC
Organization Active NPI Family Medicine Physician · Little Rock, AR
NPI 1134558398 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1134558398
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ST VINCENT PHYSICIAN CLINICS LLC
- Practice address
- 16221 Saint Vincent Way
Little Rock, AR 72223-9072 - Phone
- (501) 552-8150
- Fax
- (501) 552-8199
- NPI assigned
- Nov 7, 2013
- Organization subpart
- No
Authorized official
- Name
- Jaime Dennis
- Title
- Director-Revenue Cycle
- Phone
- (501) 224-1690
Practitioners 220
-
Camille Swihart Braswell, M.D.
-
Natalie Cobb, APRN
-
Michael R Ford, M.D.
-
Gilbert Foster, M.D.
-
Leanne C Glidewell, APN
-
Srinivasan Ramaswamy, M.D.
-
Steve Simpson, M.D.
-
Randi L Ferguson, APN
-
Sridhar Reddy Madgula, M.D.
-
Shiva Nallur, MD
-
Shreelekha Nallur, M.D.
-
Rhodora Amalian Raghavan, M.D.
-
James Edward Wilkerson III, M. D.
-
Robyn Lashae Wilkerson, M. D.
-
Afaf Aslam Malik, MD
-
Monica Kothari, MD
-
Tarek Abuelem, M.D.
-
Adedamola Adepoju, M.D
-
Moustafa Aly, MD
-
Leslie F Anderson, M.D.
-
Becca Carle Austin, APN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140313001812 | AR | Part B Supplier - Clinic/Group Practice | 5395975379 |
Receives reassigned benefits from 17 practitioners Practice locations: Little Rock, AR |
National Provider Directory
Locations
16221 Saint Vincent Way
Ste 100
Little Rock, AR 72223
Phone (501) 552-8150
10000 N Rodney Parham Rd
Little Rock, AR 72227
Phone (501) 221-0888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
16221 Saint Vincent Way
Little Rock, AR 72223-9072
Mailing address
5125 Northshore Dr
North Little Rock, AR 72118-5315
Phone (501) 224-1690
Other providers in Little Rock, AR
- St Vincent Infirmary Medical Center
- St Vincent Infirmary Medical Center
- St Vincent Infirmary Medical Center
- St Vincent Medical Group
- St Vincent Medical Group
- Sarah Jane St. Amour-Byrd
- St. George
- Leslie Helene St. Pierre
- St. Vincent Infirmary Medical Center
- St. Vincent Infirmary Medical Center
All providers in Little Rock, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.