SOUTH ARKANSAS SURGICAL ASSOCIATES (NPI# 1801922794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801922794 |
| Entity Type | Organization |
| Organization Name | SOUTH ARKANSAS SURGICAL ASSOCIATES |
| Practice Address |
1609 W 40th Ave Suite 403 Pine Bluff AR 71603-6319 |
| Practice Telephone | 8705344188 |
| Practice Fax Number | 8705347964 |
| Mailing Telephone | 8705344188 |
| Mailing Fax Number | 8705347964 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | DANNA HUDSON (OFFICE MANAGER) |
| Authorized Official Telephone | 8705344188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1609 W 40TH AVE SUITE 403 |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-6319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852734 | Amy Boast Cahill | Obstetrics & Gynecology | 1609 W 40th Ave, Ste 204, Pine Bluff, AR 71603-6367 | 2005-06-22 |
| 1851787089 | Katie Loetscher | Nurse Practitioner | 1609 W 40th Ave, #204, Pine Bluff, AR 71603-6319 | 2015-04-14 |
| 1578906152 | Torrance A Walker Md Pa | Preferred Provider Organization | 1609 W 40th Ave, Suite 201, Pine Bluff, AR 71603-6319 | 2013-04-12 |
| 1982940433 | Jefferson Hospital Assn, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2013-01-02 |
| 1962753574 | Jefferson Hospital Assn, Inc. | Surgery | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2012-09-21 |
| 1275841306 | Jefferson Hospital Association, Inc. | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2010-09-23 |
| 1285865865 | Lisa A Bearden Md Pa | Clinic/Center | 1609 W 40th Ave, Suite 204, Pine Bluff, AR 71603-6319 | 2009-07-30 |
| 1316184815 | Charles A. Clark, Md, Pa | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2009-01-21 |
| 1770750176 | Roy Louis Burrell | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2008-05-14 |
| 1891975173 | Amy Boast Cahill, M.d., P.a. | Clinic/Center | 1609 W 40th Ave, Suite 204, Pine Bluff, AR 71603-6319 | 2007-11-05 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164709036 | Abdul Ezeldin M.d. P.a. | Specialist | 1801 W 40th Ave Ste 5c, Pine Bluff, AR 71603-6962 | 2011-11-07 |
| 1447492996 | Travis J. Goodnight, M. D., Pa | Specialist | 1609 West 40th, Ste 403, Pine Bluff, AR 71603 | 2009-03-30 |
| 1649440637 | Calvin M Bracy | Specialist | 1301 W 43rd Ave, Pine Bluff, AR 71603-7024 | 2008-03-05 |
| 1780891309 | Urology Associates of South Arkansas | Specialist | 1609 W 40th Ave Ste 301, Pine Bluff, AR 71603-6366 | 2007-05-16 |
| 1598771677 | Steven Howard Wright | Specialist | 1614 W 42nd Ave, Pine Bluff, AR 71603-7006 | 2006-07-31 |
| 1295761419 | South Arkansas Heart & Vascular Associates, P.a. | Specialist | 4201 S Mulberry St, Pine Bluff, AR 71603-7016 | 2006-06-23 |
| 1760448542 | Arkansas Cancer Clinic, Pa | Specialist | 7200 South Hazel, Pine Bluff, AR 71603 | 2006-04-21 |
| 1841262300 | Ruston Pierce | Specialist | 1702 W 42nd Ave, Pine Bluff, AR 71603-7008 | 2006-02-07 |
| 1548230881 | Pulmonary Medicine Clinic Pa | Specialist | 1710 W 42nd Ave, Pine Bluff, AR 71603-7008 | 2006-01-26 |
| 1457345704 | L Milton Hughes | Specialist | 1414 W 43rd Ave, Pine Bluff, AR 71603-7010 | 2005-09-01 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
Please comment or provide details below to improve the information on SOUTH ARKANSAS SURGICAL ASSOCIATES.
| 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.