JEFFERSON HOSPITAL ASSOCIATION, INC.


Address: 1420 W 43rd Ave, Pine Bluff, AR 71603-7010
Phone: 8705346210

JEFFERSON HOSPITAL ASSOCIATION, INC. (NPI# 1881162469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881162469
Entity Type Organization
Organization Name JEFFERSON HOSPITAL ASSOCIATION, INC.
Practice Address 1420 W 43rd Ave
Pine Bluff
AR 71603-7010
Mailing Address Po Box 2650
Pine Bluff
AR 71613-2650
Practice Telephone 8705346210
Practice Fax Number 8705348620
Mailing Telephone 8705417235
Mailing Fax Number 8705414297
Enumeration Date 2018-11-13
Last Update Date 2018-11-13
Authorized Official Name BRYAN JACKSON (CFO)
Authorized Official Telephone 8705417141
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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
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
1821021379 Jefferson Hospital Association, Inc. Health Maintenance Organization 1609 W 40th Ave, Suite 207, Pine Bluff, AR 71603-6319 2006-07-08
1235179581 Jefferson Hospital Association, Inc. Psychiatry & Neurology 1600 W 40th Ave, Attn: Hospitalist Program, Pine Bluff, AR 71603-6301 2006-06-07

Office Location

Street Address 1420 W 43RD AVE
City PINE BLUFF
State AR
Zip Code 71603-7010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093779787 Lloyene Bruce-reid Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-12
1275935363 Sevilay Dalabih Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2014-09-19
1134183395 Joann B Mays Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-14
1093779324 Horace L Green Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-13
1255395950 Children's Clinic, P.a. Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-12
1699739375 Susan G Mcgeorge Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-12
1407810187 Joyce V Fletcher Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-12

Providers in the same zip code

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 Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578619177 John Alonzo Flowers Sr. Pediatrics 316 W 5th Ave, Pine Bluff, AR 71601-4214 2007-01-26
1093779787 Lloyene Bruce-reid Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-12
1164604930 Flowers Pediatraic Clinic Pediatrics 316 W 5th Ave, Pine Bluff, AR 71601-4214 2007-12-03
1134183395 Joann B Mays Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-14
1093779324 Horace L Green Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-13
1255395950 Children's Clinic, P.a. Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-12
1699739375 Susan G Mcgeorge Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-12
1407810187 Joyce V Fletcher Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2006-04-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689182412 Saveritt Pediatrics Pllc Pediatrics 5501 Willow Creek Dr Ste 203, Springdale, AR 72762-8708 2018-01-15
1255517066 Joshua R Wilkinson Pediatrics 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 2008-01-11
1285654285 William Ladell Douglas Pediatrics 100 E 20th St, Suite B, Hope, AR 71801-8213 2006-07-20
1811955974 Loren Barry Allen Pediatrics 1223 W Poplar St, Rogers, AR 72756-4245 2006-05-01
1972502953 Floyd Gonzalez Pediatrics 821 Walter J Leeper Dr, Suite 101, De Queen, AR 71832-2591 2005-07-20
1700885522 Renee Jones Pediatrics 615 N Main St, Brinkley, AR 72021-2507 2005-07-14
1588121065 Premier Pediatrics Pllc Pediatrics 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 2019-02-21
1366767972 Michael Israel Pediatrics 1 Childrens Way, Slot 512-19a, Little Rock, AR 72202-3500 2010-04-07
1841380342 James Darrell Nesmith Pediatrics 1 Childrens Way # 653, Little Rock, AR 72202-3500 2006-10-13
1750484218 Robin P Ray Pediatrics 403 W Oak, Suite 301, El Dorado, AR 71730 2006-09-07
Find all providers with the same taxonomy

Competitor

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City PINE BLUFF
Zip Code 71603

Improve Information

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Dataset Information

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.

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