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JACK STEPHENS HEART INSTITUTE LLC NPI 1033404199


NPI Information

NPI: 1033404199
Provider Name: JACK STEPHENS HEART INSTITUTE LLC

Other Name: ST. VINCENT CARDIOVASCULAR SURGEONS

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
5 ST. VINCENT CIRCLE
STE 501
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 666-2894
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JACK STEPHENS HEART INSTITUTE LLC is a thoracic surgery cardiothoracic vascular surgery in Little Rock, AR. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. JACK STEPHENS HEART INSTITUTE LLC NPI is 1033404199. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is St. Vincent Cardiovascular Surgeons.

The provider's business location address is:

5 ST. VINCENT CIRCLE
STE 501
LITTLE ROCK, AR
ZIP 72205-414
Phone: (501) 666-2894
Fax: (501) 666-9017

The provider's authorized official is Peter Banko .
The authorized official title is Ceo/president and has the following contact phone number (501) 552-3922.

The enumeration date for this NPI number is 6/16/2011 and was last updated on 2/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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