JEFFERSON MANAGEMENT SERVICE INC (NPI# 1710004338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710004338 |
| Entity Type | Organization |
| Organization Name | JEFFERSON MANAGEMENT SERVICE INC |
| Other Organization Name | SHERIDAN MEDICAL ASSOCIATION |
| Practice Address |
21 Opportunity Dr Attn Tracy Harrington Sheridan AR 72150-9185 |
| Mailing Address |
1600 W 40th Ave Attn Brenna Jackson Pine Bluff AR 71603-6301 |
| Practice Telephone | 8709429833 |
| Practice Fax Number | 8709429837 |
| Mailing Telephone | 8705417220 |
| Mailing Fax Number | 8705418769 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | MR. ROBERT P ATKINSON (PRESIDENT & CEO) |
| Authorized Official Telephone | 8705417269 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SHERIDAN MEDICAL ASSOCIATION | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669590113 | Jefferson Management Service Inc | Clinic/Center | 750 H L Ross Dr, Monticello, AR 71655-5705 | 2007-03-26 |
| Street Address |
21 OPPORTUNITY DR ATTN TRACY HARRINGTON |
| City | SHERIDAN |
| State | AR |
| Zip Code | 72150-9185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497724157 | Clyde Dodson Paulk | Family Medicine | 21 Opportunity Dr, Sheridan, AR 72150-9185 | 2006-03-15 |
| 1093285132 | James Alvin Nichols | Registered Nurse | 21 Opportunity Dr, Sheridan, AR 72150-9185 | 2018-12-02 |
| 1598912123 | Arkansas Health Group | Family Medicine | 21 Opportunity Dr, Sheridan, AR 72150-9185 | 2008-08-26 |
| 1568656387 | Sheridan Medical Associates | Family Medicine | 21 Opportunity Dr, Sheridan, AR 72150-9185 | 2007-09-05 |
| 1700897600 | William Artis Highsmith | Family Medicine | 21 Opportunity Dr, Sheridan, AR 72150-9185 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922656180 | Ryan Harris | Pharmacist | 821 N Rock Street, Sheridan, AR 72150 | 2019-08-30 |
| 1538561188 | Assisted Care for Seniors | In Home Supportive Care | 102 Center Street, Suite A, Sheridan, AR 72150 | 2014-09-25 |
| 1679653885 | Rodman & Armstrong Partnership | Optometrist | 201 W Holly, Sheridan, AR 72150 | 2006-10-16 |
| 1881790236 | Paul D Fitzgerald | Dentist | 209 W Holly, Sheridan, AR 72150 | 2006-09-15 |
| 1811912207 | Nancy Watson | Nurse Practitioner | 109 West Pine St., Suite A, Sheridan, AR 72150 | 2006-07-13 |
| 1356320832 | John B Simpson | Family Medicine | 651 Heritage Dr, Sheridan, AR 72150 | 2006-01-12 |
| 1548607161 | Deanna Hardiman | Counselor | 201 S Rose St, Sheridan, AR 72150 | 2013-05-23 |
| 1508130626 | Dorris Faye West | Technician/Technologist | 103 South Oak Street, Sheridan, AR 72150 | 2012-03-07 |
| 1689987620 | Melissa Gail Drake | Nurse Practitioner | 651 Heritage Dr, Sheridan, AR 72150 | 2010-07-20 |
| 1154594380 | Bhc Pinnacle Pointe Hospital | Clinic/Center | 201 S Rose St, Sheridan, AR 72150 | 2008-04-09 |
| Find all providers in zip 72150 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| Find all providers in SHERIDAN | ||||
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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.