ST. VINCENT MEDICAL GROUP – NPI #1134176480
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ST. VINCENT MEDICAL GROUP is a provider located in LITTLE ROCK, AR. NPPES has assigned the NPI number 1134176480 to ST. VINCENT MEDICAL GROUP on May 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Apr 24, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. VINCENT MEDICAL GROUP below.

NPI Profile for
ST. VINCENT MEDICAL GROUP

NPI Number
1134176480
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. VINCENT MEDICAL GROUP
Primary location
2 ST. VINCENT CIRCLE
LITTLE ROCK, AR 72205-2936
Phone: (501) 552-3571 Fax: (501) 224-1927
1 Other location(s):
701 N University Ave Ste 203
Little Rock, AR 72205-2936
Phone: (501) 664-2434
Fax: (501) 907-7768
Mailing address
5125 NORTHSHORE DR
NORTH LITTLE ROCK, AR 72118-5315
Phone: (501) 224-1690 Fax: (501) 224-1927
Organization Subpart
No
Authorized Official
JAMIE DENNIS
DIRECTOR
Phone: (501) 224-1690
Updated
Certification Date
Apr 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ST. VINCENT MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAR138898002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.