Individual provider Active NPI

Jay Robert Marks, MD

  • Emergency Medicine Physician
  • Little Rock, AR
National Provider Identifier
1881708154
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N-6093 Issued in AR
Practice address
2 Saint Vincent'S Circle
Little Rock, AR 72205
Phone
(501) 522-2678
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N-6093 AR Primary

Addresses

Primary practice location

2 Saint Vincent'S Circle
Little Rock, AR 72205

Mailing address

1611 Wetherborne Drive
Little Rock, AR 72211
Phone (501) 258-9726

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
I20040603000710 AR Practitioner - Emergency Medicine 2365424371 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N-6093ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Emergency Physicians, Inc. Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Arkansas Healthcare Services LLC CurrentSince Dec 1, 2016 Accepting new patients
Markham Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Petite Roche Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1201 Military Rd
Ste 2
Benton, AR 72015

1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

Organizations & group practices 4

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881708154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WETHERBORNE DRIVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72211",
            "telephone_number": "501-258-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT VINCENT'S CIRCLE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-522-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "JAY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "N-6093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.