Individual provider Active NPI

Stephen G Divers, M.D.

  • Hematology & Oncology Physician
  • Hot Springs, AR
National Provider Identifier
1760469407
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
E4010 Issued in AR
Practice address
133 Harmony Park
Hot Springs, AR 71913-5417
Phone
(501) 624-7700
Fax
(501) 623-5788
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X E4010 AR
Hematology & Oncology Physician 207RH0003X E4010 AR Primary

Addresses

Primary practice location

133 Harmony Park
Hot Springs, AR 71913-5417

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

Other identifiers 2

IdentifierTypeStateIssuer
154309001MedicaidAR
P00115171OtherRAILROAD MEDICARE

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
I20040520001541 AR Practitioner - Medical OncologyPractitioner - Hematology 2466443155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Louisiana State University School of Medicine in New Orleans, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

133 Harmony Park Cir
Hot Springs, AR 71913-5417
Phone (501) 624-7700

Hospital & facility affiliations

  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • National Park Medical Center Hospital, Hot Springs, AR, CCN 040078
  • Mena Regional Health System Hospital, Mena, AR, CCN 041334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4010ARMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Hematology & Oncology CurrentSince Sep 1, 2018 Accepting new patients

Locations

133 Harmony Park Cir
Hot Springs National Park, AR 71913
Phone (501) 624-7700

5620 W Markham St
Little Rock, AR 72205
Phone (501) 508-7163

136 Health Park Dr
Mena, AR 71953
Phone (479) 437-6023

400 Crestwood Cir
Ste G
Mena, AR 71953
Phone (479) 394-1161

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

Organizations & group practices 1

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 8

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1760469407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HARMONY PARK",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135417",
            "telephone_number": "501-624-7700",
            "fax_number": "501-623-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVERS",
        "first_name": "STEPHEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AR",
            "license": "E4010",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E4010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154309001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00115171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.