Jack Stephens Heart Institute LLC
NPI 1033404199ActiveOrganization· Thoracic Surgery (Cardiothoracic Vascular Surgery)· Little Rock, AR
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Little Rock, Arkansas, registered in NPPES in June 2011. The authorized official on file is Peter Banko, Ceo/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033404199 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2011 |
| Last updated in NPPES | Feb 9, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary | 208G00000X | — | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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