MID-SOUTH NEUROSURGERY, INC. (NPI# 1518920404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518920404 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH NEUROSURGERY, INC. |
| Practice Address |
800 S. Church Suite 203 Jonesboro AR 72401 |
| Mailing Address |
P.o. Box 6004 Jonesboro AR 72403 |
| Practice Telephone | 8709323850 |
| Practice Fax Number | 8709325699 |
| Mailing Telephone | 8709323850 |
| Mailing Fax Number | 8709325699 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. J MATT PARKER (PRESIDENT) |
| Authorized Official Telephone | 8709327024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | RAILROAD | DC9398 | 01 |
| Street Address |
800 S. CHURCH SUITE 203 |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871035352 | Edison Brain & Spine Surgeons, Pllc | Neurological Surgery | 3880 Plantation Estates Dr, Jonesboro, AR 72404-6891 | 2016-11-15 |
| 1790964666 | Gary S Sapiro | Neurological Surgery | 2702 Nix Lake Dr, Jonesboro, AR 72404-0918 | 2007-10-29 |
| 1295886026 | Ricca Neurosurgical Clinic Pllc | Neurological Surgery | 701 Windover Road, Suite 400, Jonesboro, AR 72401 | 2007-01-16 |
| 1740239417 | Neurosurgical Associates of Ne Ar | Neurological Surgery | 1118 Windover Rd, Jonesboro, AR 72401-6038 | 2006-05-09 |
| 1447220264 | Eric D Akin | Neurological Surgery | 800 S Church St Ste 201, Jonesboro, AR 72401-4106 | 2006-01-24 |
| 1467514976 | Jonesboro Neurosurgery Clinic, Inc | Neurological Surgery | 800 S Church St, Ste 203, Jonesboro, AR 72401-4176 | 2006-12-14 |
| 1235203415 | Maria S Li | Neurological Surgery | 4802 E Johnson Ave, Jonesboro, AR 72401 | 2006-11-20 |
| 1104911759 | Rebecca Barrett-tuck | Neurological Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-10-03 |
| 1780641563 | Robert Abraham | Neurological Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-27 |
| 1386615177 | Gregory F Ricca | Neurological Surgery | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-01-30 |
| Find all providers in JONESBORO | ||||
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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.