Active NPI
Chad Sullivan Stewart
- Certified Registered Nurse Anesthetist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C002943
- Practice address
- 9601 Interstate 630
Exit 7
Little Rock, AR 72205-7202 - Phone
- (501) 202-2093
- Fax
- (501) 202-6316
- NPI assigned
- Dec 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | R0102067 | OK | |
| Certified Registered Nurse Anesthetist | 367500000X | C002943 | AR | Primary |
Addresses
Primary practice location
9601 Interstate 630
Exit 7
Little Rock, AR 72205-7202
Mailing address
11001 Executive Center Dr
Suite 200
Little Rock, AR 72211-4316
Phone (501) 202-2093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9601 Baptist Health Dr
Little Rock, AR 72205-6321
Phone (501) 202-2093
Hospital & facility affiliations
- Baptist Health Medical Center- Conway
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0102067 | OK | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Surgical Hospital, LLC | Current | Accepting new patients | |
| Arkansas Surgical Hospital, LLC | Current | Accepting new patients | |
| Arkansas Surgical Hospital, LLC | Current | Accepting new patients |
Locations
9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995
9601 Interstate 630
Little Rock, AR 72205
Phone (501) 202-2300
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000
5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Little Rock, AR
- NPI 1508800962
-
- Anesthesiology Physician
- North Little Rock, AR
- NPI 1265192835
-
- Orthopaedic Surgery Physician
- Conway, AR
- NPI 1417439944
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Family Medicine Physician
- North Little Rock, AR
- NPI 1407466626
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, AR
- NPI 1285005140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1366788796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR",
"address_2": "SUITE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114316",
"telephone_number": "501-202-2093",
"fax_number": "501-202-6316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 INTERSTATE 630",
"address_2": "EXIT 7",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057202",
"telephone_number": "501-202-2093",
"fax_number": "501-202-6316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "CHAD",
"middle_name": "SULLIVAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-12",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OK",
"license": "R0102067",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C002943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in 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, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.