Individual provider Active NPI

Charles J Stearns, MD

  • Anesthesiology Physician
  • Pine Bluff, AR
National Provider Identifier
1477595387
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E4117 Issued in AR
Practice address
1801 W 40TH Ave
Suite 2B
Pine Bluff, AR 71603-6900
Phone
(870) 535-7457
Fax
(870) 535-2522
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E4117 AR Primary

Addresses

Primary practice location

1801 W 40TH Ave
Suite 2B
Pine Bluff, AR 71603-6900

Mailing address

PO Box 1272
Pine Bluff, AR 71613-1272
Phone (870) 535-7457

Other identifiers 3

IdentifierTypeStateIssuer
5N515OtherARBLUE CROSS BLUE SHIELD
161835001MedicaidAR
P00329101OtherRRMCR

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
I20061003000093 AR Practitioner - Anesthesiology 7214932912 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arkansas College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Anesthesia Associates PLLCGroup PAC ID 6406023142, 85 clinicians
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

1901 Encore Way
Bryant, AR 72019-8896
Phone (501) 326-6868

300 Werner St
Hot Springs, AR 71913-6406
Phone (501) 622-1930

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027
  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4117ARMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Youngs Professional Services LLC CurrentSince Nov 7, 2022 Accepting new patients
Ans Services of Arkansas PA Anesthesiology CurrentSince Dec 23, 2023 Accepting new patients
Arkansas Anesthesia Associates, PLLC. Anesthesiology CurrentSince Jan 1, 2012 Accepting new patients
Arkansas Health Group CurrentSince Sep 13, 2021 Accepting new patients
Arkansas Health Group Anesthesiology CurrentSince Sep 13, 2021 Accepting new patients

Locations

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

10201 Kanis Rd
Little Rock, AR 72205
Phone (501) 221-5050

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1001 Schneider Dr
Malvern, AR 72104
Phone (501) 332-1000

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

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.

Hospital & facility affiliations 8

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1477595387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716131272",
            "telephone_number": "870-535-7457",
            "fax_number": "870-535-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "SUITE 2B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036900",
            "telephone_number": "870-535-7457",
            "fax_number": "870-535-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEARNS",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E4117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5N515",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161835001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00329101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.