JEFFERSON HOSPITAL ASSOCIATION, INC. (NPI# 1821021379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821021379 |
| Entity Type | Organization |
| Organization Name | JEFFERSON HOSPITAL ASSOCIATION, INC. |
| Other Organization Name | RHUEMATOLOGY CLINIC |
| Practice Address |
1609 W 40th Ave Suite 207 Pine Bluff AR 71603-6319 |
| Practice Telephone | 8705342348 |
| Practice Fax Number | 8708506816 |
| Mailing Telephone | 8705342348 |
| Mailing Fax Number | 8708506816 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-01-20 |
| Authorized Official Name | MR. WALTER JOHNSON (CEO) |
| Authorized Official Telephone | 8705417269 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | E2787 | AR | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 165800002 | 05 | |
| AR | BLUE CROSS | 5F782 | 01 |
| Other Name | Type Code |
|---|---|
| Rhuematology Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922578327 | Jefferson Hospital Association, Inc. | Family Medicine | 1801 W 40th Ave Ste 6a, Pine Bluff, AR 71603-6963 | 2018-11-28 |
| 1144885047 | Jefferson Hospital Association, Inc. | Family Medicine | 1600 W Holland Ave Ste 202, White Hall, AR 71602-9221 | 2019-05-06 |
| 1881162469 | Jefferson Hospital Association, Inc. | Pediatrics | 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 | 2018-11-13 |
| 1275841306 | Jefferson Hospital Association, Inc. | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2010-09-23 |
| 1306097365 | Jefferson Hospital Association, Inc. | Clinic/Center | 7500 Dollarway Rd, Suite 404, White Hall, AR 71602-3027 | 2008-10-08 |
| 1235179581 | Jefferson Hospital Association, Inc. | Psychiatry & Neurology | 1600 W 40th Ave, Attn: Hospitalist Program, Pine Bluff, AR 71603-6301 | 2006-06-07 |
| Street Address |
1609 W 40TH AVE SUITE 207 |
| 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 | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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|---|---|---|---|---|
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| 1821299645 | Robbie R. Atkinson, Dds,md,ltd. | Health Maintenance Organization | 1801 W 40th Ave, Ste. 2-a, Pine Bluff, AR 71603-6940 | 2007-05-30 |
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| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1194068734 | W.a. Lucky LLC. | Health Maintenance Organization | 1753 N College Ave, Ste. 100, Fayetteville, AR 72703-2650 | 2013-04-02 |
| 1346513637 | Full Potential | Health Maintenance Organization | 1032 Skyline Dr, Alexander, AR 72002-1749 | 2012-02-16 |
| 1730450826 | Full Potential | Health Maintenance Organization | 4 Park Dr, Bryant, AR 72022-2940 | 2012-01-20 |
| 1396036018 | All Smiles | Health Maintenance Organization | 2940 Harrison St, Batesville, AR 72501-7513 | 2011-04-28 |
| 1902105984 | Senior Dental Care LLC. | Health Maintenance Organization | 25 Rahling Cir Ste C, Little Rock, AR 72223-9194 | 2011-03-16 |
| 1437382322 | Kings's Kids Learning Center, LLC | Health Maintenance Organization | 10610 Chicot Rd, Mabelvale, AR 72103-2200 | 2009-08-26 |
| 1003050444 | State Line Surgical Services, LLC | Health Maintenance Organization | 1310 Eastside Centre Ct # 6-142, Mountain Home, AR 72653-2705 | 2009-04-29 |
| 1942400312 | Memory Medical | Health Maintenance Organization | 129 N Vaughn Rd, Fayetteville, AR 72701-0524 | 2007-07-23 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
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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.