Individual provider Active NPI

Devin Dean St. Clair, MD

  • Orthopaedic Surgery Physician
  • Fayetteville, AR
National Provider Identifier
1447745245
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E-17844 Issued in AR
Practice address
3900 N Parkview Dr
Fayetteville, AR 72703-6398
Phone
(479) 966-4187
Fax
(479) 966-4197
NPI assigned
Jun 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X E-17844 AR Primary

Addresses

Primary practice location

3900 N Parkview Dr
Fayetteville, AR 72703-6398

Mailing address

3900 N Parkview Dr
Fayetteville, AR 72703-6398
Phone (479) 966-4187

Other identifiers 1

IdentifierTypeStateIssuer
2018021042OtherMOBNDD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240722000969 AR Practitioner - Orthopedic Surgery 9638421233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Missouri, Columbia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

3900 N Parkview Dr
Christopher Arnold MD PA
Fayetteville, AR 72703-6398
Phone (479) 966-4187

Hospital & facility affiliations

  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022
  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010
  • Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004
  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion87
Laminectomy or laminotomy (partial removal of spine bones)18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-17844ARMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic and Joint Preservation Center of Arkansas, P.a. Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients

Locations

3900 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 966-4187

3721 S Champions Dr
Ste 220
Rogers, AR 72758

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1447745245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 N PARKVIEW DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036398",
            "telephone_number": "479-966-4187",
            "fax_number": "479-966-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N PARKVIEW DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036398",
            "telephone_number": "479-966-4187",
            "fax_number": "479-966-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. CLAIR",
        "first_name": "DEVIN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E-17844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "2018021042",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.