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Organization
ST. VINCENT MEDICAL GROUP
Active
Organization
ST. VINCENT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DENNIS (DIRECTOR)
(501) 224-1690
Entity
Organization
Contact information
Practice address
2 ST. VINCENT CIRCLE, LITTLE ROCK, AR 72205-2936
(501) 552-3571
(501) 224-1927
Mailing address
5125 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5315
(501) 224-1690
(501) 224-1927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
NULL
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
NULL
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138898002
—
AR
Enumeration date
05/30/2006
Last updated
04/24/2025
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