Baptist Health

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

BAPTIST HEALTH

Doing business as

Arkansas Cardiology

Practice address

9501 Baptist Health Drive
Suite 600
Little Rock, AR 72205-6231

Phone

(501) 227-7596

Fax

(501) 227-7787

NPI assigned

Feb 14, 2012

Last updated

Oct 15, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

BAPTIST HEALTHAs reported in NPPES

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

Authorized official

Name

Troy Wells

Title

President

Phone

(501) 202-2080

Specialties & licenses 1

Addresses

Other names 1

• Arkansas Cardiology Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Baptist Health

  dba Arkansas Cardiology

  • Cardiovascular Disease Physician
  • Conway, AR
  • NPI 1083160899

  O20120320000778

  Same enrollment
• Baptist Health

  dba Arkansas Cardiology

  • Cardiovascular Disease Physician
  • North Little Rock, AR
  • NPI 1487927919

  O20120320000778

  Same enrollment

Part of

New Dimensions Inc

Locations

All facility ownership & control disclosures 51

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 67

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.

• Natalie Chrysostomou, NP

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1255031282
  Medicare reassignment Care Compare group NPD
• Michael Scott Cross Jr., M.D.

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1689105256
  Medicare reassignment Care Compare group NPD
• Bonnie Davis, APRN-CNP

  • Acute Care Nurse Practitioner
  • Little Rock, AR
  • NPI 1770472474
  Medicare reassignment Care Compare group NPD
• Micale Goodhart, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1790670669
  Medicare reassignment Care Compare group NPD
• Christen Hope Johnson

  • Cardiovascular Disease Physician
  • North Little Rock, AR
  • NPI 1831630110
  Medicare reassignment Care Compare group NPD
• Mattie Keaster, APRN

  • Nurse Practitioner
  • Strong, AR
  • NPI 1023707205
  Medicare reassignment Care Compare group NPD
• Leah D Keel, APN

  • Acute Care Nurse Practitioner
  • Little Rock, AR
  • NPI 1811236789
  Medicare reassignment Care Compare group NPD
• Ramey L Marshell, M.D.

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1508276932
  Medicare reassignment Care Compare group NPD
• Reagan Muse, APRN

  • Acute Care Nurse Practitioner
  • Little Rock, AR
  • NPI 1407585607
  Medicare reassignment Care Compare group NPD
• Daffney D Perkins, APRN

  • Acute Care Nurse Practitioner
  • Little Rock, AR
  • NPI 1891432571
  Medicare reassignment Care Compare group NPD
• Derek David Rooker, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • North Little Rock, AR
  • NPI 1821868670
  Medicare reassignment Care Compare group NPD
• Breck Sandvall, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Little Rock, AR
  • NPI 1235516279

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1316210875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 BAPTIST HEALTH DRIVE",
            "address_2": "SUITE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056231",
            "telephone_number": "501-227-7596",
            "fax_number": "501-227-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 BAPTIST HEALTH DRIVE",
            "address_2": "SUITE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056231",
            "telephone_number": "501-227-7596",
            "fax_number": "501-227-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH",
        "enumeration_date": "2012-02-14",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-202-2080"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baptist Health (Baptist Health Rehabilitation Institute)
• Baptist Health
• Baptist Health (Baptist Medical Center-Psych)
• Baptist Health (Baptist Health Medical Towers Pharmacy and Infusion Services)
• Baptist Health (Baptist Medical Center ESRD)
• Baptist Health (Baptist Health On-Site Clinic)
• Baptist Health (Baptist Rehabilitation Institute Physicians)
• Baptist Health (Baptist Health - UAMS Cancer Clinic)
• Baptist Health (Medflight)
• Baptist Health (BMC Physician Clinic)

• Cardiovascular Disease Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Cardiovascular Disease Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.