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ST MARY'S PHYSICIAN SERVICES LLC
NPI 1124084991
General Practice in Russellville, AR

Active since April 21, 2006
101 SKYLINE DR, RUSSELLVILLE, AR 72801(479) 968-2345(479) 890-2497 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 26, 2024, Feb 7, 2023, Jun 16, 2019 (3 updates tracked since 2019).

About St Mary's Physician Services Llc NPPES

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

ST MARY'S PHYSICIAN SERVICES LLC (NPI 1124084991) is a healthcare organization registered as a general practice in Russellville, Arkansas and active in the NPI registry since April 2006. The organization lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1124084991
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameST MARY'S PHYSICIAN SERVICES LLC
Location Address101 SKYLINE DRRussellville, AR 72801-3363
Mailing Address101 Skyline DrRussellville, AR 72801-3363 · (479) 968-2345
Phone(479) 968-2345
Fax(479) 890-2497
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateApril 21, 2006
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1124084991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedInternal MedicineTaxonomy 207R00000X
101 SKYLINE DR, Russellville, AR 72801
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Other Identifiers 2

OtherDA8026Railroad Medicare Ptan
Medicaid152955002AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Reviews for ST MARY'S PHYSICIAN SERVICES LLC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

JOE CLOUD M.D.
Obstetrics & Gynecology
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 890-2432
SARAH ELIZABETH ROBERTSON MD
Family Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
MS. ALICE KATHLEEN WHITLOW R.D.
Dietitian, Registered
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
DR. FAUZIA QADIR MD
Family Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
STANLEY DANE TEETER M.D.
Family Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
DR. HOWARD MADISON ORSBURN IV M.D.
Pediatrics
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
KEITH ALAN ISON MD
Internal Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
RICK WAYNE HARRISON MD
Pediatrics
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
DONALD FAXON HILL MD
Internal Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
BARRY WILLIAM MCCRAW MD
Pediatrics
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
JEFFREY K YATES DO
Family Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
DR. CHRISTINA MARIE BARTLETT M.D.
Pediatrics
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
KRISTEN MICHELLE NELSON MD
Pediatrics
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
BETHANY ANN WALKER PA-C
Physician Assistant
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
MRS. SARAH MINOO AZAMI ANP
Nurse Practitioner (Family)
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
DR. JONATHAN DAVID BRIXEY M.D.
Internal Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
DR. MARK EDWARD BUCHANAN M.D.
Orthopaedic Surgery
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
MS. CANDACE DARLENE WELCHER APN
Nurse Practitioner (Family)
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
NOMA WILKINSON KELLNER APRN
Nurse Practitioner (Family)
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
DR. FREDERICK H PERKINS D.O.
Surgery
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345

Frequently Asked Questions

What is ST MARY'S PHYSICIAN SERVICES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1124084991, enumerated as an "organization" on April 21, 2006.

Where is the provider located?

The provider is located at 101 SKYLINE DR RUSSELLVILLE, AR 72801 and the phone number is (479) 968-2345.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.

What insurance does ST MARY'S PHYSICIAN SERVICES LLC accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.