Active NPI
Samuel Jason Swain, CRNA
- Anesthesiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C02672
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167097001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Group
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C02672 | AR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Anesthesiology | Current | 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 | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients | |
| White River Health Anesthesia Service Group, Inc. | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Baptist Health Onsite Employee Clinic | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Health Group | Past | 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.
-
- Certified Registered Nurse Anesthetist
- Batesville, AR
- NPI 1598562233
AR
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Certified Registered Nurse Anesthetist
- Mountain View, AR
- NPI 1710233010
-
- Multi-Specialty Clinic/Center
- Batesville, AR
- NPI 1306496203
-
- Surgery Physician
- Batesville, AR
- NPI 1992125850
-
- Pulmonary Disease Physician
- Conway, AR
- NPI 1053041053
-
- Family Medicine Physician
- Greenbrier, AR
- NPI 1063705218
-
- Family Medicine Physician
- North Little Rock, AR
- NPI 1114762085
-
- Surgery Physician
- Arkadelphia, AR
- NPI 1124636279
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.