NPIMap

Individual provider Active NPI

Mark Anthony St.Pierre, MD

  • Cardiovascular Disease Physician
  • North Little Rock, AR
National Provider Identifier
1730130956
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C8308 Issued in AR
Practice address
4000 Richards Road
Ste a
North Little Rock, AR 72117
Phone
(501) 758-3999
Fax
(501) 758-8653
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C8308 AR Primary

Addresses

Primary practice location

4000 Richards Road
Ste a
North Little Rock, AR 72117

Mailing address

4000 Richards Road
Ste a
North Little Rock, AR 72117
Phone (501) 758-3999

Other identifiers 1

IdentifierTypeStateIssuer
134971001MedicaidAR

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
I20070710000222 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 0840257911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Arkansas College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10100 Kanis Rd
Little Rock, AR 72205-6202
Phone (501) 255-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C8308ARMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Cardiovascular Disease CurrentSince Jan 1, 2008 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Sep 5, 2011 Accepting new patients
Heart Clinic Arkansas Cardiovascular Disease Current Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
Baptist Health CurrentSince Jan 1, 2008 Accepting new patients
St. Vincent Infirmary Medical Center CurrentSince Sep 5, 2011 Accepting new patients
St Vincent Infirmary Medical Center Past Accepting new patients

Locations

2039 W Main St
Ste C
Cabot, AR 72023
Phone (501) 422-6428

1 Saint Vincent Cir
Little Rock, AR 72205
Phone (479) 878-2250

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

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

4000 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 758-3999

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

1708 N Buerkle St
Stuttgart, AR 72160
Phone (870) 659-8050

Interoperability endpoints

  • Direct secure messaging: mstpierre458510@direct.stlukeshealth.org

Organizations & group practices 8

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.

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1730130956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 RICHARDS ROAD",
            "address_2": "STE A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72117",
            "telephone_number": "501-758-3999",
            "fax_number": "501-758-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 RICHARDS ROAD",
            "address_2": "STE A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72117",
            "telephone_number": "501-758-3999",
            "fax_number": "501-758-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.PIERRE",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "C8308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134971001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.