ST. BERNARDS HOSPITAL, INC (NPI# 1518327287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518327287 |
| Entity Type | Organization |
| Organization Name | ST. BERNARDS HOSPITAL, INC |
| Other Organization Name | ST. BERNARDS PREGNANCY CLINIC |
| Practice Address |
4334 E Highland Dr Ste B Jonesboro AR 72401-6621 |
| Mailing Address |
225 E Washington Ave Jonesboro AR 72401-3111 |
| Practice Telephone | 8702070421 |
| Practice Fax Number | 8702070559 |
| Mailing Telephone | 8702688400 |
| Mailing Fax Number | 8709348808 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MR. BENJAMIN BARYLSKE (CFO) |
| Authorized Official Telephone | 8702074565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Bernards Pregnancy Clinic | Doing Business As Name - Organization |
| St. Bernards Women's Clinic | Doing Business As Name - Organization |
| Street Address |
4334 E HIGHLAND DR STE B |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-6621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073575148 | Mark Stripling | Obstetrics & Gynecology | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554015 | Embrace Fmo | Obstetrics & Gynecology | 1502 Se 28th St Ste 2, Bentonville, AR 72712-0076 | 2020-10-06 |
| 1215147418 | John S.white,m.d. | Obstetrics & Gynecology | 1521 N 10th St Ste E, Blytheville, AR 72315-1424 | 2007-05-23 |
| 1164491270 | James Douglas Studdard | Obstetrics & Gynecology | 9501 Baptist Health Dr, Ste. 800, Little Rock, AR 72205-6225 | 2006-03-14 |
| 1235505074 | Rebecca Cisneros | Obstetrics & Gynecology | 7301 Rogers Ave, Fort Smith, AR 72903 | 2015-08-17 |
| 1124411095 | Robert P Young | Obstetrics & Gynecology | 10720 N Rodney Parham Rd, Suite B5, Little Rock, AR 72212-4177 | 2015-03-16 |
| 1548662182 | Omar Aziz | Obstetrics & Gynecology | 1200 Mclain St, Newport, AR 72112 | 2014-09-25 |
| 1558626556 | Natalie Zoe Eiland | Obstetrics & Gynecology | 603-2 N Progress Ave Ste 100, Siloam Springs, AR 72761-4113 | 2012-07-06 |
| 1073893665 | Magnolia Regional Medical Center | Obstetrics & Gynecology | 101 Hospital Drive, Magnolia, AR 71753 | 2011-08-26 |
| 1497966808 | Carl Michael Riddell | Obstetrics & Gynecology | 5800 W 10th St, Ste.401, Little Rock, AR 72204-1752 | 2007-05-25 |
| 1518178938 | Julian Anthony Terry Sr. | Obstetrics & Gynecology | 3215 N Northhills Blvd, Ste 3, Fayetteville, AR 72703-4424 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
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| 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.