Vance Stock, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

E0324 Issued in AR

Practice address

205 E Jefferson St
Siloam Springs, AR 72761-3629

Phone

(479) 524-4141

Fax

(479) 549-2576

NPI assigned

Jun 29, 2006

Last updated

Sep 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  AR

  Medicare reassignment NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1255369286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E JEFFERSON ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613629",
            "telephone_number": "479-524-4141",
            "fax_number": "479-549-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E JEFFERSON ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613629",
            "telephone_number": "479-524-4141",
            "fax_number": "479-549-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "VANCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AR",
            "license": "E0324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255369286",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100217430A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129450001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanna D Stevens, MSPT
• Marcus Still
• Stinnett & Scarbrough P.a, (Holly Street Physical Therapy)
• Scott G Stinnett, M.D.
• Steven M Stinnett, PT
• Brandon Ray Stroope, D.M.D.
• Angela K Stuart, LPC
• Vicroria Lynn Sullivan, LPC
• Summit Dental Care
• Supportive Care of Arkansas LLC

• Emergency Medical Services (Emergency Medicine) Physician in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.