M SHANE JENNINGS M.D. NPI 1639316797

NPI Information

NPI: 1639316797
Provider Name: M SHANE JENNINGS, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 4301 W MARKHAM ST # 584
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 686-8000

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NPI Details

M Shane Jennings, M.D. is an emergency medicine in Little Rock, AR with 18 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. M Shane Jennings, M.D. NPI is 1639316797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4301 W MARKHAM ST # 584
LITTLE ROCK, AR
ZIP 72205-199
Phone: (501) 686-8000
Fax: (501) 526-5148

The NPI 1639316797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Emergency department visit for life threatening or functioning severity (HCPCS:99285)
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
Critical care, first 30-74 minutes (HCPCS:99291)
Emergency department visit for problem of high severity (HCPCS:99284)

The enumeration date for this NPI number is 1/12/2009 and was last updated on 10/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207P00000X	Emergency Medicine	266197	NEW YORK	No
2	207P00000X	Emergency Medicine	R0031	TEXAS	No
3	207P00000X	Emergency Medicine	04-46598	KANSAS	No
4	207P00000X	Emergency Medicine	E-16517	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	371627601	MEDICAID	TEXAS
2	03486688	MEDICAID	NEW YORK
3	371627602	OTHER	TEXAS	CSHCN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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