NPIMap

Individual provider Active NPI

Frederick A. Meadors, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
National Provider Identifier
1699851436
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
C6444 Issued in AR
Practice address
5 Saint Vincent Cir Ste 501
Little Rock, AR 72205-5414
Phone
(501) 666-2894
NPI assigned
Oct 27, 2006
Last updated
May 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C6444 AR Primary

Addresses

Primary practice location

5 Saint Vincent Cir Ste 501
Little Rock, AR 72205-5414

Mailing address

5 Saint Vincent Cir Ste 501
Little Rock, AR 72205-5414
Phone (501) 666-2894

Other practice location 1

4301 W Markham St # 713
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 2

4110 Outpatient Circle
Third floor
Little Rock, AR 72205
Phone (501) 686-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000062 AR Practitioner - Cardiac SurgeryPractitioner - Vascular SurgeryPractitioner - Thoracic Surgery 7618065111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
University of Arkansas College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jack Stephens Heart Institute LLCGroup PAC ID 1355512708, 6 clinicians

Practice addresses (Care Compare)

5 Saint Vincent Cir
Suite 501
Little Rock, AR 72205-5414
Phone (501) 666-2894

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C6444ARMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince May 15, 2023 Accepting new patients
Jack Stephens Heart Institute LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 2, 2011 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince May 15, 2023 Accepting new patients
St. Vincent Medical Group PastSince Jul 1, 2024 Accepting new patients
Watkins, Bauer & Meadors, P.a. Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jun 2, 2011 Accepting new patients

Locations

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

2 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-2663

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#713
Little Rock, AR 72205
Phone (501) 686-5220

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

5 Saint Vincent Cir
Ste 501
Little Rock, AR 72205
Phone (501) 666-2894

Interoperability endpoints

  • Direct secure messaging: fmeadors457592@direct.stlukeshealth.org

Ownership & related parties

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
St. Vincent MorriltonMorrilton, AR, CCN 04Z324 Hospital Corporate Director Jul 1, 2024
CHI St Vincent MorriltonMorrilton, AR, CCN 041324 Hospital Corporate Director Jul 1, 2025
CHI St Vincent InfirmaryLittle Rock, AR, CCN 040007 Hospital Corporate Director Jul 1, 2024
St Vincent Medical Center NorthSherwood, AR, CCN 040137 Hospital Corporate Director Jul 1, 2024
CHI St Vincent Hospital Hot SpringsHot Springs National Park, AR, CCN 040026 Hospital Corporate Director Jul 1, 2024
CHI St Vincent Hospital Hot SpringsHot Springs National Park, AR, CCN 04S026 Hospital Corporate Director Jul 1, 2025
CHI St. Vincent MorriltonMorrilton, AR, CCN 043477 Rural health clinic Corporate Director Jul 1, 2024

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 4

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1699851436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR STE 501",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055414",
            "telephone_number": "501-666-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR STE 501",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055414",
            "telephone_number": "501-666-2894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 713",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-686-5323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4110 Outpatient Circle",
            "address_2": "Third floor",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72205",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-686-5323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADORS",
        "first_name": "FREDERICK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-05-05",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "C6444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.