Kevin Girtman, PA
Individual provider Active NPI Medical Physician Assistant · Beebe, AR
NPI 1659536563 · NPPES record last updated Mar 31, 2022
Key facts
- NPI
- 1659536563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 47 Highway 64 W
Beebe, AR 72012-9500 - Phone
- (501) 882-3388
- Fax
- (501) 882-3300
- NPI assigned
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Health Group
Practice addresses (Care Compare)
3201 Springhill Dr
Suite 100
North Little Rock, AR 72117-2905
Phone (501) 955-4530
Hospital & facility affiliations
- Baptist Health Medical Center-Little Rock
- Baptist Health Medical Center North Little Rock
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100708000118 | AR | Practitioner - Physician Assistant | 3072674498 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current |
Accepting new patients | |
| St. Vincent Infirmary Medical Center | Current |
Accepting new patients | |
| Arkansas Health Group | Current |
Accepting new patients | |
| St Vincent Infirmary Medical Center | Current |
Accepting new patients | |
| Arkansas Health Group | Current |
Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients |
Locations
1 Saint Vincent Cir
Ste 210
Little Rock, AR 72205
Phone (501) 319-7437
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000
2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680
3201 Springhill Dr
Ste 100
North Little Rock, AR 72117
Phone (501) 955-4530
505 W Pershing Blvd
Ste C
North Little Rock, AR 72114
Phone (501) 758-1002
Interoperability endpoints
- kgirtman123554@direct.baptist-healthar.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
47 Highway 64 W
Beebe, AR 72012-9500
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 882-3388
Other providers in Beebe, AR
- Madison Taylor Everett
- Lindsay Farmer
- Lauren Ashley Farris
- Scarlett Lynn Faulk
- Freds Stores of Tennessee Inc
- Alexis Gordon
- Lisa Green
- Meagan N Green
- Krystal Edge Grimes
- Kerry Lynne Guyot
All providers in Beebe, AR · Medical Physician Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.