Baptist Health

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

BAPTIST HEALTH

Practice address

11900 Colonel Glenn Rd Ste 2000
Little Rock, AR 72210-2829

Phone

(501) 202-6043

Fax

(501) 202-7793

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Troy Wells

Title

President

Phone

(501) 202-2080

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Baptist Health Supportive Care At Home Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Baptist Health Fam Clinic58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Baptist Health

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  NPD tax ID
• Baptist Health

  • Rural Health Clinic/Center
  • Prescott, AR
  • NPI 1518356112
  NPD tax ID
• Baptist Health

  • Rural Health Clinic/Center
  • Caddo Valley, AR
  • NPI 1528478955
  NPD tax ID
• Baptist Health

  • Orthopaedic Surgery Physician
  • Magnolia, AR
  • NPI 1568395309
  NPD tax ID
• Baptist Health

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1578593067
  NPD tax ID
• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1598021412
  NPD tax ID
• Baptist Health

  • Medicare Defined Swing Bed Hospital Unit
  • Monticello, AR
  • NPI 1598546723
  NPD tax ID
• Baptist Health

  • Medicare Defined Swing Bed Hospital Unit
  • El Dorado, AR
  • NPI 1598613812
  NPD tax ID
• Baptist Health

  • Infusion Therapy Clinic/Center
  • Little Rock, AR
  • NPI 1609320563
  NPD tax ID
• Baptist Health

  • Medicare Defined Swing Bed Hospital Unit
  • Heber Springs, AR
  • NPI 1609811827
  NPD tax ID
• Baptist Health

  • Medicare Defined Swing Bed Hospital Unit
  • Malvern, AR
  • NPI 1649724261
  NPD tax ID
• Baptist Health

  • Rural Health Clinic/Center
  • Russellville, AR
  • NPI 1689467102
  NPD tax ID

Locations

All facility ownership & control disclosures 51

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan M Darnell

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1306406806
  Medicare reassignment NPD
• Meagan B Freeman, APRN, FNP-C, CMSRN

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1306591391
  Medicare reassignment NPD
• Stan L. Kellar, M.D.

  • Specialist
  • North Little Rock, AR
  • NPI 1760453120
  Medicare reassignment NPD
• Melissa D Pruitt, MD

  • Family Medicine Physician
  • North Little Rock, AR
  • NPI 1497702096
  Medicare reassignment NPD
• Kenneth Morgan Sauer, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Little Rock, AR
  • NPI 1225128796
  Medicare reassignment NPD
• Susan J Smithwick, APN

  • Gerontology Nurse Practitioner
  • Little Rock, AR
  • NPI 1922172790
  Medicare reassignment NPD
• Teresa Michelle Whitwell, APRN

  • Family Nurse Practitioner
  • Perryville, AR
  • NPI 1427416254
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1659971505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114300",
            "telephone_number": "501-202-7474",
            "fax_number": "501-202-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 COLONEL GLENN RD STE 2000",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722102829",
            "telephone_number": "501-202-6043",
            "fax_number": "501-202-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-202-2080"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2278P3800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified, Palliative/Hospice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126783747",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Supportive Care At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baptist Health
• Baptist Health
• Baptist Health
• Baptist Health
• Baptist Health
• Baptist Health
• Baptist Health
• Baptist Health
• Baptist Health Extended Care Hospital - Little Rock, Inc.
• Baptist Health Imaging Center - Highway 10 LLC

• Hospice and Palliative Medicine (Family Medicine) Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.