Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Mary's Specialty LLC

Organization Anesthesiology Physician · NPI 1831730670

St Mary's Specialty LLC is an Anesthesiology Physician in Russellville, Arkansas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1808 W Main St
Russellville, AR 72801-2724
Phone: (479) 968-2841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1831730670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terrance Dillon — Assistant Secretary · (502) 596-7220
NPI enumeratedOctober 2, 2019
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022
Mailing address330 Seven Springs Way, Brentwood, TN 37027-5098

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