Individual provider Active NPI

Samuel Jason Swain, CRNA

  • Anesthesiology Physician
  • Little Rock, AR
National Provider Identifier
1659565174
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C02672 Issued in AR
Practice address
9601 Interstate 630 Exit 7
Little Rock, AR 72205-7202
Phone
(501) 202-2093
NPI assigned
Aug 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 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 C02672 AR Primary

Addresses

Primary practice location

9601 Interstate 630 Exit 7
Little Rock, AR 72205-7202

Mailing address

11001 Executive Drive
Suite 200
Little Rock, AR 72211

Other identifiers 1

IdentifierTypeStateIssuer
167097001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080222000504 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335223791 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

11001 Executive Ctr Dr
Suite 200
Little Rock, AR 72211

11001 Executive Ctr Dr
Suite 200
Little Rock, AR 72211-4393

16 Hospital Cir
Suite a
Batesville, AR 72501-7343

2319 Hwy 110 W
Heber Springs, AR 72543-3442
Phone (501) 202-2093

Hospital & facility affiliations

  • Baptist Health Medical Center Heber Springs Hospital, Heber Springs, AR, CCN 041312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C02672ARMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Anesthesiology CurrentSince Jun 4, 2007 Accepting new patients
White River Health System, Inc. Current Accepting new patients
White River Health System, Inc. Current Accepting new patients
White River Health System, Inc CurrentSince Aug 1, 2021 Accepting new patients
White River Health System, Inc. CurrentSince Aug 1, 2021 Accepting new patients
White River Health Anesthesia Service Group, Inc. CurrentSince Apr 1, 2025 Accepting new patients
White River Health System, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Arkansas Health Group CurrentSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Baptist Health Onsite Employee Clinic PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients
Arkansas Health Group PastSince Jun 4, 2007 Accepting new patients

Locations

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

1710 Harrison St
Ste A
Batesville, AR 72501
Phone (870) 262-3280

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

9601 Interstate 630
Little Rock, AR 72205
Phone (501) 202-2300

2106 E Main St
Mountain View, AR 72560
Phone (870) 262-5056

Organizations & group practices 53

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.

View all 53

Hospital & facility affiliations 1

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1659565174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE DRIVE",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 INTERSTATE 630 EXIT 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057202",
            "telephone_number": "501-202-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "SAMUEL",
        "middle_name": "JASON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "C02672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167097001",
            "state": "AR"
        }
    ],
    "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 May 14, 2008; 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.

Verify at the official NPI Registry.