Individual provider Active NPI

Marie Antoinette Kent, M.D.

  • Emergency Medicine Physician
  • Pine Bluff, AR
National Provider Identifier
1710240064
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E8282 Issued in AR
Practice address
4010 S Mulberry St
Pine Bluff, AR 71603-7000
Phone
(870) 541-6000
Fax
(870) 541-3198
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E8282 AR Primary

Addresses

Primary practice location

4010 S Mulberry St
Pine Bluff, AR 71603-7000

Mailing address

16401 Chenal Valley Dr
Apt. 2201
Little Rock, AR 72223-3905
Phone (870) 541-6000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140414001861 AR Practitioner - Family Practice 6709018302 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8282ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Nov 5, 2013 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Feb 1, 2014 Accepting new patients
Ess Hospitalist LLC CurrentSince Jan 1, 2015 Accepting new patients
White River Health System, Inc. CurrentSince Jan 1, 2024 Accepting new patients
White River Health System, Inc. CurrentSince Apr 26, 2014 Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

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

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

1306 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 584-4111

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

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1710240064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 CHENAL VALLEY DR",
            "address_2": "APT. 2201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722233905",
            "telephone_number": "870-541-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 S MULBERRY ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037000",
            "telephone_number": "870-541-6000",
            "fax_number": "870-541-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "MARIE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E8282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.