ST. MARY'S SPECIALTY LLC
NPI 1831730670
Anesthesiology in Russellville, AR

NPI Status: Active since October 02, 2019

Contact Information

1808 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 968-2841

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  • Organization
  • Anesthesiology
  • Accepts Insurance
  • CLIA Number: 04D0468964
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-16-2027

About ST. MARY'S SPECIALTY LLC

This page provides the complete NPI Profile along with additional information for St. Mary's Specialty Llc, an anesthesiologist established in Russellville, Arkansas operating as a Anesthesiology. The healthcare provider is registered in the NPI registry with number 1831730670 assigned on October 2019. The practitioner's primary taxonomy code is 207L00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. St. Mary's Specialty Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Terrance Dillon (Assistant Secretary)

NPI
1831730670
Provider Name
ST. MARY'S SPECIALTY LLC
Entity Type
Organization
Location Address
1808 W MAIN ST RUSSELLVILLE, AR 72801
Location Phone
(479) 968-2841
Mailing Address
330 SEVEN SPRINGS WAY BRENTWOOD, TN 37027
Mailing Phone
(615) 920-7782
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2019
Last Update Date
02-11-2022
Code Navigator

An anesthesiologist like St. Mary's Specialty Llc manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERRANCE DILLON

Authorized Official Title
ASSISTANT SECRETARY
Authorized Official Phone
(502) 596-7220

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D0468964
Facility Type
Hospital
Certificate Effective Date
August 17, 2025
Certificate Expiration Date
August 16, 2027
Laboratory Director
DR. CHRISTINA A. JETTON
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St. Mary's Specialty Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ST. MARY'S SPECIALTY LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1831730670, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 6 + 1 + 1 + 4 + 3 + 0 + 6 + 1 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1831730670.

Other Providers at the Same Location


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

Anesthesiology
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Anesthesiology
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Anesthetist, Certified Registered
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Anesthesiology
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Anesthetist, Certified Registered
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Radiology (Radiation Oncology)
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Radiology (Radiation Oncology)
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Internal Medicine (Hematology & Oncology)
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Physical Therapist
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Pharmacist
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Pharmacist
1808 W MAIN ST, SMRMC PHARMACY DEPARTMENT
RUSSELLVILLE, AR 72801
Pharmacist
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Pharmacist
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Pharmacist
1808 W MAIN ST, PHARMACY
RUSSELLVILLE, AR 72801
Emergency Medicine
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Hospitalist
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Physician Assistant
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Anesthetist, Certified Registered
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Emergency Medicine
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Internal Medicine (Pulmonary Disease)
1808 W MAIN ST
RUSSELLVILLE, AR 72801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831730670, enumerated as an "organization" on October 02, 2019.

The provider is located at 1808 W MAIN ST RUSSELLVILLE, AR 72801 and the phone number is (479) 968-2841.

Anesthesiology with taxonomy code 207L00000X.

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