Organization Active NPI

Stephen R Marks MD PA

  • Obstetrics & Gynecology Physician
  • North Little Rock, AR
National Provider Identifier
1275625915
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
STEPHEN R MARKS MD PA
Practice address
3343 Springhill Drive
Suite 1005
North Little Rock, AR 72117
Phone
(501) 758-9251
Fax
(501) 758-0308
NPI assigned
Sep 29, 2006
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Stephen Ray Marks, MD PANPI 1134126006
Title
Physician President
Phone
(501) 758-9251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

3343 Springhill Drive
Suite 1005
North Little Rock, AR 72117

Mailing address

3343 Springhill Drive
Suite 1005
North Little Rock, AR 72117
Phone (501) 758-9251

Other identifiers 1

IdentifierTypeStateIssuer
105080001MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100913000187 AR Part B Supplier - Clinic/Group Practice 9133244379 Receives reassigned benefits from 1 practitioner
Practice locations: North Little Rock, AR

National Provider Directory

National Provider Directory

Locations

3343 Springhill Dr
Ste 1005
North Little Rock, AR 72117
Phone (501) 758-9251

4505 E McCain Blvd
Ste 2
North Little Rock, AR 72117
Phone (501) 904-2904

Practitioners & affiliated clinicians

Practitioners 3

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1275625915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 SPRINGHILL DRIVE",
            "address_2": "SUITE 1005",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72117",
            "telephone_number": "501-758-9251",
            "fax_number": "501-758-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 SPRINGHILL DRIVE",
            "address_2": "SUITE 1005",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72117",
            "telephone_number": "501-758-9251",
            "fax_number": "501-758-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R MARKS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PHYSICIAN    PRESIDENT",
        "authorized_official_telephone_number": "501-758-9251",
        "authorized_official_credential": "MD  PA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105080001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.