NPIMap

Organization Active NPI

St. Anthonys Hospital Association

  • Emergency Medicine Physician
  • Morrilton, AR
National Provider Identifier
1174916258
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ST. ANTHONYS HOSPITAL ASSOCIATION
Practice address
4 Hospital Dr
Morrilton, AR 72110-4510
Phone
(501) 977-2300
NPI assigned
Mar 12, 2015
Last updated
May 15, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Tadd M Richert
Title
Sr. VP and Cfo
Phone
(501) 522-3912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

4 Hospital Dr
Morrilton, AR 72110-4510

Mailing address

PO Box 22720
Little Rock, AR 72221-2720
Phone (501) 552-3000

Other identifiers 1

IdentifierTypeStateIssuer
162539002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080125000635 AR Part B Supplier - Clinic/Group Practice 4082516554 Receives reassigned benefits from 16 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morrilton, AR

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
St Anthony's Hospital Association8 organizations share this tax ID, including this one
Part of
Catholic Health Initiatives

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1174916258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22720",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722212720",
            "telephone_number": "501-552-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HOSPITAL DR",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104510",
            "telephone_number": "501-977-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONYS HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "RICHERT",
        "authorized_official_first_name": "TADD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. VP AND CFO",
        "authorized_official_telephone_number": "501-522-3912"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162539002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrilton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.