St Vincent Infirmary Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

ST VINCENT INFIRMARY MEDICAL CENTER

Doing business as

St Vincent Infirmary Medical Center - GeroPsych Unit

Practice address

2 Saint Vincent Cir
Little Rock, AR 72205-5423

Phone

(501) 552-3000

NPI assigned

Feb 4, 2019

Last updated

Feb 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara B Bradley, CPA

Title

VP Finance

Phone

(501) 552-3929

Specialties & licenses 1

Addresses

Other names 1

• St Vincent Infirmary Medical Center - GeroPsych Unit Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710442801. Details of each certification follow.

• CCN 040007 Hospital · Active · Details

Hospital certification: CCN 040007

Legal name

ST VINCENT INFIRMARY MEDICAL CENTER

Doing business as

CHI ST VINCENT INFIRMARY

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Apr 8, 2022

Beds

615

Ownership / control type

Private (not for profit)

Most recent change of ownership

Feb 1, 1998 (1 total)

Organization structure

CorporationNon-profit

Incorporated

Jun 3, 1966 in AR

Enrollment address

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Hospital Psychiatric Unit

Hospital subgroups

General, Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St Vincent Infirmary Medical Center

  dba St. Vincent Health System

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1780684431

  O20070814000253

  Same enrollment

Listed as

CHI-St Vincent InfirmaryCCN 040007 · All quality measures

Overall star rating

3 of 5

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

Locations

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Clayton D Borg, MD

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1427060581

  Corporate Director

  CMS ownership
• Matthew Lewis Law

  • Hospitalist Physician
  • Little Rock, AR
  • NPI 1598022535

  Corporate Director

  CMS ownership
• Neesa J McCollum Flaxman, M.D.

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1073509956

  Corporate Director

  CMS ownership
• Frederick A. Meadors, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
  • NPI 1699851436

  Corporate Director

  CMS ownership

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdel Rahman A Al Emam, MD

  • Interventional Cardiology Physician
  • Little Rock, AR
  • NPI 1679875017
  NPD
• Mohammad Al-Sarie, MD

  • Interventional Cardiology Physician
  • North Little Rock, AR
  • NPI 1548611817
  NPD
• Hassan Alakshar, MD

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1194162180
  NPD
• Marvin Winston Ashford Jr., MD

  • Cardiovascular Disease Physician
  • North Little Rock, AR
  • NPI 1518907807
  NPD
• Robert Warren Balentine Jr., M.D.

  • Family Medicine Physician
  • Conway, AR
  • NPI 1609927706
  NPD
• Stephanie Gail Barnes, PA-C

  • Physician Assistant
  • Little Rock, AR
  • NPI 1477738342
  NPD
• Andrew M Bates, APN

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1841733300
  NPD
• Scott L Beau, MD

  • Clinical Cardiac Electrophysiology Physician
  • Little Rock, AR
  • NPI 1861485302
  NPD
• Clayton D Borg, MD

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1427060581
  NPD
• Tom Bozzay, PA-C

  • Physician Assistant
  • Little Rock, AR
  • NPI 1639346620
  NPD
• Keith Brown, M.D.

  • Interventional Pain Medicine Physician
  • Hot Springs, AR
  • NPI 1114923166
  NPD
• Scott Hamilton Brown, M.D.

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1366402448
  NPD

Affiliated clinicians 547

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Tarek Abuelem, M.D.

  • Neurological Surgery Physician
  • Sherwood, AR
  • NPI 1588984223

  Hospital

  Care Compare affiliation
• Yuba Raj Acharya, M.D.

  • Interventional Cardiology Physician
  • Hot Springs, AR
  • NPI 1376716290

  Hospital

  Care Compare affiliation
• Ashley Adam

  • Family Nurse Practitioner
  • Beebe, AR
  • NPI 1386398014

  Hospital

  Care Compare affiliation
• Michael Agbor

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1730861287

  Hospital

  Care Compare affiliation
• Mohanned Hassan Mohammed Ahmed, M.D.

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1053725499

  Hospital

  Care Compare affiliation
• Abdel Rahman A Al Emam, MD

  • Interventional Cardiology Physician
  • Little Rock, AR
  • NPI 1679875017

  Hospital

  Care Compare affiliation
• Mohammad Al-Sarie, MD

  • Interventional Cardiology Physician
  • North Little Rock, AR
  • NPI 1548611817

  Hospital

  Care Compare affiliation
• Muhammad G Alam, MD, MPH

  • Nephrology Physician
  • Little Rock, AR
  • NPI 1932202819

  Hospital

  Care Compare affiliation
• Meer Akbar Ali, M.D.

  • Gastroenterology Physician
  • Pine Bluff, AR
  • NPI 1770775157

  Hospital

  Care Compare affiliation
• Umair Ali

  • Nephrology Physician
  • Little Rock, AR
  • NPI 1720749740

  Hospital

  Care Compare affiliation
• Amanda Lashea Allen, APRN

  • Family Nurse Practitioner
  • Bryant, AR
  • NPI 1760949713

  Hospital

  Care Compare affiliation
• Tamer Alsebai, M.D.

  • Rheumatology Physician
  • Little Rock, AR
  • NPI 1528091071

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1710442801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAINT VINCENT CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055423",
            "telephone_number": "501-552-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT VINCENT CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055423",
            "telephone_number": "501-552-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT INFIRMARY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "501-552-3929",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent Infirmary Medical Center - GeroPsych Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Elizabeth St Columbia
• St John's Care (Synergy HomeCare of Little Rock)
• St Vincent Breast Cancer & Mammography Screening Center LLC (St Vincent Breast Cancer)
• St Vincent Infirmary Medical Center (St. Vincent Homecare)
• St Vincent Infirmary Medical Center (Little Rock Diagnostic Clinic ASC)
• St Vincent Infirmary Medical Center (St. Vincent Health System)
• St Vincent Infirmary Medical Center (St Vincent Health Systems)
• St Vincent Medical Group (St Vincent Health Clinic East)
• St Vincent Medical Group
• St Vincent Physician Clinics LLC

• Psychiatric Hospital Unit in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Psychiatric Hospital Unit in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.
• 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.