OUTPATIENT SURGERY CENTER OF JONESBORO LLC (NPI# 1598758153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598758153 |
| Entity Type | Organization |
| Organization Name | OUTPATIENT SURGERY CENTER OF JONESBORO LLC |
| Practice Address |
1100 E Matthews Ave Jonesboro AR 72401-4314 |
| Practice Telephone | 8709358500 |
| Practice Fax Number | 8709326435 |
| Mailing Telephone | 8709358500 |
| Mailing Fax Number | 8709326435 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2010-05-05 |
| Authorized Official Name | MRS. KERRI LYNN PARNELL (FINANCIAL MANAGER) |
| Authorized Official Telephone | 8709358500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AR4142 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 149813128 | 05 |
| Street Address |
1100 E MATTHEWS AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306130208 | Lacey Perrin Parker | Anesthesiology | 1100 E Matthews Ave, Jonesboro, AR 72401-4314 | 2011-06-08 |
| 1740509751 | Amanda Louise Garner | Nurse Anesthetist, Certified Registered | 1100 E Matthews Ave, Jonesboro, AR 72401-4314 | 2010-06-01 |
| 1437171725 | Larry Johnson | Anesthesiology | 1100 E Matthews Ave, Jonesboro, AR 72401-4314 | 2006-07-24 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1639615297 | Surgery Center At The Reserve, P.a., Inc. | Clinic/Center | 2241 Hillpark Cove, Suite B, Jonesboro, AR 72401 | 2017-01-06 |
| 1386165504 | Emory Clinic Inc | Clinic/Center | 7813 Spivey Station Blvd, Jonesboro, GA 30236-2900 | 2017-06-28 |
| 1487012480 | Lake Spivey Ambulatory Surgery Care, LLC | Clinic/Center | 7813 Spivey Station Blvd, Suite 100, Jonesboro, GA 30236-2900 | 2016-02-04 |
| 1528478849 | Vein Specialists of Arkansas | Clinic/Center | 2239 S Caraway Rd, Suite N, Jonesboro, AR 72401-6204 | 2014-05-08 |
| 1558562579 | International Center for Foot & Ankle Surgery | Clinic/Center | 7130 Mount Zion Blvd, Suite 14, Jonesboro, GA 30236-2566 | 2007-05-29 |
| 1578643607 | Pain Center LLC | Clinic/Center | 505 E Matthews Ave, Suite 103, Jonesboro, AR 72401-3144 | 2006-10-16 |
| 1508974353 | Southlake Ambulatory Surgery Center, Lllp | Clinic/Center | 7813 Spivey Station Blvd, Suite 100, Jonesboro, GA 30236-0000 | 2006-08-29 |
| 1457379364 | Jonesboro Surgery Center, LLC | Clinic/Center | 623 E Matthews Ave, Suite C, Jonesboro, AR 72401-3145 | 2006-07-18 |
| 1720023500 | Center for Reconstructive Surgery | Clinic/Center | 7130 Mount Zion Blvd, Suite 14, Jonesboro, GA 30236-2518 | 2006-06-17 |
| 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.