STEVEN BLACKSHEAR
NPI 1043899636
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 02, 2021PECOS Enrolled
4301 W MARKHAM ST # 520, LITTLE ROCK, AR 72205(501) 686-6627 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Steven Blackshear NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEVEN BLACKSHEAR (NPI 1043899636) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043899636
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEVEN BLACKSHEAR
Location Address4301 W MARKHAM ST # 520Little Rock, AR 72205-7101
Mailing Address449 S Oaks DrSpringfield, MO 65809-1101
Sole ProprietorYes
Enumeration DateApril 2, 2021
NPPES CertifiedApril 2, 2021
NPI 1043899636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4301 W MARKHAM ST # 520, Little Rock, AR 72205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Steven Blackshear is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Surgery (Surgical Critical Care)
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043899636, enumerated as an "individual" on April 02, 2021.

The provider is located at 4301 W MARKHAM ST # 520 LITTLE ROCK, AR 72205 and the phone number is (501) 686-6627.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.