Individual provider Active NPI

Stephen Putnam Lunde, M.D.

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
National Provider Identifier
1821334327
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N-5906 Issued in AR
Practice address
4815 W Markham St
Slot 16
Little Rock, AR 72205-3866
Phone
(501) 661-2480
Fax
(501) 661-2464
NPI assigned
Jan 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N-5906 AR Primary

Addresses

Primary practice location

4815 W Markham St
Slot 16
Little Rock, AR 72205-3866

Mailing address

4815 W Markham St
Slot 16
Little Rock, AR 72205-3866
Phone (501) 661-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N-5906ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince Oct 7, 2024 Accepting new patients
St. Bernards Hospital, Inc Current Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince Oct 7, 2024 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Hospital Inc CurrentSince Jan 1, 2018 Accepting new patients
St Bernards Hospital Inc. CurrentSince Jan 1, 2018 Accepting new patients
St Bernards Hospital Inc CurrentSince Feb 16, 2022 Accepting new patients

Locations

2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

Interoperability endpoints

  • Direct secure messaging: stephenlunde@sbpc.medalliesdirect.net

Organizations & group practices 7

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": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1821334327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 W MARKHAM ST",
            "address_2": "SLOT 16",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053866",
            "telephone_number": "501-661-2480",
            "fax_number": "501-661-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 W MARKHAM ST",
            "address_2": "SLOT 16",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053866",
            "telephone_number": "501-661-2480",
            "fax_number": "501-661-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDE",
        "first_name": "STEPHEN",
        "middle_name": "PUTNAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "N-5906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.