Individual provider Active NPI

Kevin Girtman, PA

  • Medical Physician Assistant
  • Beebe, AR
National Provider Identifier
1659536563
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
47 Highway 64 W
Beebe, AR 72012-9500
Phone
(501) 882-3388
Fax
(501) 882-3300
NPI assigned
Jul 21, 2008
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

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

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000118 AR Practitioner - Physician Assistant 3072674498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, shared by 52 NPIs, 645 clinicians

Practice addresses (Care Compare)

3201 Springhill Dr
Suite 100
North Little Rock, AR 72117-2905
Phone (501) 955-4530

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Infirmary Medical Center CurrentSince May 18, 2010 Accepting new patients
Arkansas Health Group CurrentSince Jun 26, 2012 Accepting new patients
Arkansas Health Group CurrentSince May 15, 2023 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince May 18, 2010 Accepting new patients
Arkansas Health Group CurrentSince Jun 26, 2012 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

10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000

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

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

  • Direct secure messaging: kgirtman123554@direct.baptist-healthar.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1659536563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-882-3388",
            "fax_number": "501-882-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HIGHWAY 64 W",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720129500",
            "telephone_number": "501-882-3388",
            "fax_number": "501-882-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRTMAN",
        "first_name": "KEVIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beebe, AR

Sources for this page

Verify at the official NPI Registry.