LISA A BEARDEN MD PA


Address: 1609 W 40th Ave, Suite 204, Pine Bluff, AR 71603-6319
Phone: 8705343608

LISA A BEARDEN MD PA (NPI# 1285865865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285865865
Entity Type Organization
Organization Name LISA A BEARDEN MD PA
Other Organization Name LISA A DUCKWORTH MD PA
Practice Address 1609 W 40th Ave
Suite 204
Pine Bluff
AR 71603-6319
Practice Telephone 8705343608
Mailing Telephone 8705343608
Enumeration Date 2009-07-30
Last Update Date 2010-09-30
Authorized Official Name DR. LISA A BEARDEN (MD/OWNER)
Authorized Official Telephone 8705343608
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
E-6081 AR Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Lisa A Duckworth MD PA Former Legal Business Name - Organization

Office Location

Street Address 1609 W 40TH AVE
SUITE 204
City PINE BLUFF
State AR
Zip Code 71603-6319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407852734 Amy Boast Cahill Obstetrics & Gynecology 1609 W 40th Ave, Ste 204, Pine Bluff, AR 71603-6367 2005-06-22
1851787089 Katie Loetscher Nurse Practitioner 1609 W 40th Ave, #204, Pine Bluff, AR 71603-6319 2015-04-14
1578906152 Torrance A Walker Md Pa Preferred Provider Organization 1609 W 40th Ave, Suite 201, Pine Bluff, AR 71603-6319 2013-04-12
1982940433 Jefferson Hospital Assn, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 2013-01-02
1962753574 Jefferson Hospital Assn, Inc. Surgery 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 2012-09-21
1275841306 Jefferson Hospital Association, Inc. Orthopaedic Surgery 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 2010-09-23
1316184815 Charles A. Clark, Md, Pa Orthopaedic Surgery 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 2009-01-21
1770750176 Roy Louis Burrell Orthopaedic Surgery 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 2008-05-14
1891975173 Amy Boast Cahill, M.d., P.a. Clinic/Center 1609 W 40th Ave, Suite 204, Pine Bluff, AR 71603-6319 2007-11-05
1801922794 South Arkansas Surgical Associates Specialist 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 2007-02-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700445038 Hannah Carter Dentist 3801 S Olive St, Pine Bluff, AR 71603 2019-06-11
1821544628 Nauman Yunus Md Pa Internal Medicine 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 2016-08-31
1407278120 Arkansas Cancer Clinic Pa Radiology 7200 South Hazel Street, Pine Bluff, AR 71603 2014-01-15
1730515396 Sharon Yvette Webb Student in an Organized Health Care Education/Training Program 2318 Kyle Street, Pine Bluff, AR 71603 2013-09-16
1477992733 David Larry Byrd Pharmacist 5 Longmeadow, Pine Bluff, AR 71603 2013-06-20
1437400371 Thomas Jordan Harper Pharmacist 2809 South Camden Road, Pine Bluff, AR 71603 2012-10-01
1992080469 C&d Disability.inc Early Intervention Provider Agency 4806 W 9th Street, Pine Bluff, AR 71603 2011-10-17
1457645863 Clifton G Roaf & Marvin Q Caudle Dentist 1310 South Linden Street, Pine Bluff, AR 71603 2011-06-02
1932402682 Mary Campbell Licensed Practical Nurse 2302 W. 28th, Suite A, Pine Bluff, AR 71603 2010-12-17
1245468925 Evan N Newbolt Ophthalmology 3805 West 28th Ave, Pine Bluff, AR 71603 2009-07-01
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255661732 Lee A Forestiere Md Pa Clinic/Center 1609 W 40th Ave Ste 403, Pine Bluff, AR 71603-6365 2010-01-06
1356671838 Michelle Eckert, M. D., Pa Clinic/Center 1609 W 40th Ave Ste 403, Pine Bluff, AR 71603-6365 2010-01-06
1346289709 Gastroenterology Associates of Southeast Arkansas, P.a. Clinic/Center 1609 W 40th Ave, Suite 312, Pine Bluff, AR 71603-6329 2006-06-04

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1831464759 Root's Chiropractic Clinic/Center 1403 Central Ave, Hot Springs, AR 71901-6149 2012-03-09
1619133394 River Valley Urgent Care Pa Clinic/Center 3500 We Knight Drive, Fort Smith, AR 72903-6248 2008-08-01
1861612228 North Arkansas Rheumatology, Plc Clinic/Center 123 Claude Parrish Ave, Harrison, AR 72601 2007-04-26
1073640769 Bryant Family Medical Clinic, P.a. Clinic/Center 408 Office Park Dr Ste 3, Bryant, AR 72022-7536 2007-02-28
1114013349 Paragould Urology Clinic/Center 1000 W Kingshighway Ste 8, Paragould, AR 72450-4197 2006-10-05
1588775464 Wren & Barrow Ob Gyn Pllc Pa Clinic/Center 628 Hospital Dr Ste 2a, Mountain Home, AR 72653-2937 2006-08-31
1366450421 Rehab and Pain Managment Clinic Inc. Clinic/Center 1201, Fleming Ave., Health South Rehablitation Hospital of Jonesboro, Jonesboro, AR 72403 2006-08-04
1952318099 Prime Medical Imaging, A Division of Radiologists, P.a. Clinic/Center 320 S 9th St, Van Buren, AR 72956-5826 2006-08-02
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Competitor

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City PINE BLUFF
Zip Code 71603

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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