JEFFERSON HOSPITAL ASSOCIATION (NPI# 1669851929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669851929 |
| Entity Type | Organization |
| Organization Name | JEFFERSON HOSPITAL ASSOCIATION |
| Other Organization Name | OBGYN ASSOCIATES OF SOUTH ARKANSAS |
| Practice Address |
1600 W 40th Ave Pine Bluff AR 71603-6301 |
| Practice Telephone | 8705417100 |
| Mailing Telephone | 8705417100 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | BRIAN THOMAS (CEO) |
| Authorized Official Telephone | 8705417100 |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OBGYN Associates of South Arkansas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730351941 | Jefferson Hospital Association | Clinic/Center | 1801 W 40th Ave, Suite 4b, Pine Bluff, AR 71603-6940 | 2008-03-27 |
| 1053484782 | Jefferson Hospital Association | Clinic/Center | 1400 Claud Rd, Pine Bluff, AR 71602-8622 | 2006-11-17 |
| 1457436214 | Jefferson Hospital Association | Internal Medicine | 4201 S Mulberry St, Pine Bluff, AR 71603-7016 | 2006-10-27 |
| Street Address |
1600 W 40TH AVE |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033172317 | Rebekah A Crowder | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2006-04-08 |
| 1164044509 | Shelly R Caine | Registered Nurse | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2020-05-08 |
| 1447870415 | Lakita Davis | Nurse Practitioner | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2020-04-20 |
| 1730739715 | Robert Benjamin Noble | Physician Assistant | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-09-12 |
| 1932757382 | Sarah Victoria Brown | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
| 1669020012 | Haley Nicole Shrell | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
| 1467000810 | Michael Carlton Turley | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
| 1639727084 | Laura Elizabeth Drinkwater | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
| 1316501901 | April Summer Mcghee | Nurse Practitioner | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-04-29 |
| 1609339365 | Andy Diaz | Physical Therapy Assistant | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-04-10 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639396583 | Aldon Elisworth Corle Jr. | Obstetrics & Gynecology | 1609 W 40th Ave Ste 201, Pine Bluff, AR 71603-6367 | 2007-04-20 |
| 1609942242 | Calvin M Bracy Md Pa | Obstetrics & Gynecology | 1301 West 43rd Avenue, Pine Bluff, AR 71603 | 2006-11-27 |
| 1700833019 | Reid Guyton Pierce | Obstetrics & Gynecology | 1801 W 40th Ave Ste 201, Pine Bluff, AR 71603-6940 | 2006-05-30 |
| 1609832831 | Affinity Healthcare for Women | Obstetrics & Gynecology | 1708 Doctors Dr, Pine Bluff, AR 71603-7015 | 2006-04-25 |
| 1467417394 | Kenneth James Lambert | Obstetrics & Gynecology | 1609 W 40th Ave Ste 402, Pine Bluff, AR 71603-6365 | 2006-04-20 |
| 1407852734 | Amy Boast Cahill | Obstetrics & Gynecology | 1609 W 40th Ave, Ste 204, Pine Bluff, AR 71603-6367 | 2005-06-22 |
| 1104210830 | Audra Cole | Obstetrics & Gynecology | 1609 W 40th Ave Ste 201, Pine Bluff, AR 71603-6367 | 2015-03-19 |
| 1578822581 | Tochi M. Amagwula | Obstetrics & Gynecology | 1609 W 40th Ave Ste 201, Pine Bluff, AR 71603-6367 | 2012-05-10 |
| 1205977196 | Arkansas Center for Women, Ltd | Obstetrics & Gynecology | 1609 W 40th Ave, Suite 203, Pine Bluff, AR 71603-6319 | 2007-02-12 |
| 1750421269 | South Arkansas Clinic for Women | Obstetrics & Gynecology | 1801 W 40th Ave, Suite 1a, Pine Bluff, AR 71603-6940 | 2007-02-07 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
Please comment or provide details below to improve the information on JEFFERSON HOSPITAL ASSOCIATION.
| 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.