JEFFERSON HOSPITAL ASSN, INC. (NPI# 1962753574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962753574 |
| Entity Type | Organization |
| Organization Name | JEFFERSON HOSPITAL ASSN, INC. |
| Other Organization Name | SURGICAL ASSOCIATES OF SOUTHEAST ARKANSAS |
| Practice Address |
1609 W 40th Ave Suite 403 Pine Bluff AR 71603-6319 |
| Mailing Address |
Po Box 2320 Pine Bluff AR 71613-2320 |
| Practice Telephone | 8705415981 |
| Practice Fax Number | 8705418769 |
| Mailing Telephone | 8705414981 |
| Mailing Fax Number | 8705418769 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | MRS. DEBRA M WALKER (CBO DIRECTOR PRACTICE MANAGEMENT) |
| Authorized Official Telephone | 8705415981 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Surgical Associates of Southeast Arkansas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982940433 | Jefferson Hospital Assn, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2013-01-02 |
| 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 |
| 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 |
| 1801922794 | South Arkansas Surgical Associates | Specialist | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2007-02-26 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558521468 | Michael J. Sutherland, Md, Pa | Surgery | 1801 W 40th Ave Ste 7b, Pine Bluff, AR 71603-6964 | 2008-06-13 |
| 1164950721 | Sarahrose S. Webster, M.d., P.a. | Surgery | 1801 W 40th Ave Ste 4c, Pine Bluff, AR 71603-6961 | 2017-05-26 |
| 1114151404 | Sarahrose Schneider Webster | Surgery | 1801 W 40th Ave, Suite 4c, Pine Bluff, AR 71603-6940 | 2009-05-14 |
| 1952367625 | Surgeons of South Arkansas, Pa | Surgery | 1801 W 40th Ave, Ste 7b, Pine Bluff, AR 71603-6900 | 2006-04-21 |
| 1295700904 | Michelle Eckert | Surgery | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2006-02-17 |
| 1225026875 | Charles D Mabry | Surgery | 1801 W 40th Ave, Suite 7b, Pine Bluff, AR 71603-6900 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962981928 | Baptist Heath Services | Surgery | 1500 Dodson Ave Ste 250, Fort Smith, AR 72901 | 2018-08-10 |
| 1932697877 | Nachtigal and Nachtigal General and Vascular Surgery, Pllc | Surgery | 230 Highway 5 N Ste 10, Mountain Home, AR 72653-3013 | 2018-04-26 |
| 1982108056 | Anthony T Manning Md Pllc | Surgery | 525 Western Ave Ste 203, Conway, AR 72034-4980 | 2018-03-22 |
| 1952840555 | Arkansas Health Group | Surgery | 1703 N Buerkle St Ste 4, Stuttgart, AR 72160-3153 | 2017-02-15 |
| 1295154789 | Nolan R Bruce | Surgery | 4301 W Markham St # 520-1, Little Rock, AR 72205-7101 | 2014-04-10 |
| 1164846887 | Northwest Arkansas Breast Care Specialists, Ltd. | Surgery | 701 S Horsebarn Rd, Suite 100, Rogers, AR 72758-8737 | 2014-02-17 |
| 1265867493 | James W. Slezak, Jr., M.d., P.a. | Surgery | 116 Woodcliff Rd, Springdale, AR 72764-3691 | 2013-09-06 |
| 1366888711 | Raj Patel | Surgery | 4100 Outpatient Cirlce, 616, Little Rock, AR 72205 | 2013-05-13 |
| 1386987766 | Rebecca Empting Bittenbinder | Surgery | 400 Jack Stephens Dr Fl 2, Little Rock, AR 72205 | 2013-04-03 |
| 1164763918 | Cynthia J Amram | Surgery | 3015 E Joyce Blvd, Fayetteville, AR 72703-4526 | 2013-03-04 |
| 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.