S. Thomas Rayburn III, MD, P.a.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

E2209 Issued in AR

Legal business name

S. THOMAS RAYBURN III, MD, P.A.

Practice address

9601 Baptist Health Dr
Ste. 570
Little Rock, AR 72205-6321

Phone

(501) 223-5757

Fax

(501) 223-5758

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Thomas Rayburn, M.D.

Title

President

Phone

(501) 223-5757

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Michio Kajitani, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Bernardino, CA
  • NPI 1194704387
  NPD (past)
• Sarah Brennae Spear, PA-C

  • Surgical Physician Assistant
  • Sacramento, CA
  • NPI 1487950598
  NPD (past)

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1740550805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR",
            "address_2": "STE. 570",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-223-5757",
            "fax_number": "501-223-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR",
            "address_2": "STE. 570",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-223-5757",
            "fax_number": "501-223-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. THOMAS RAYBURN III, MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "RAYBURN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-223-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "E2209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137308001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Ryder, MHPP
• Donra Rynders
• Scott William Rypkema, M.D.
• Julia Ryscavage, MD
• Jan Ryszkowski, M.D.
• S.E.G. Anesthesia, Inc
• Carissa Colclasure Saadi
• Robert A Saadi, M.D.
• Micaela Emory Saathoff, DO, MBA
• Jeremiah James Sabado

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.