NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. (NPI# 1992036032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992036032 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Other Organization Name | NEA BAPTIST CLINIC ANESTHESIA |
| Practice Address |
4800 E Johnson Ave Jonesboro AR 72401-8413 |
| Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
| Practice Telephone | 5012270700 |
| Practice Fax Number | 5012270744 |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | MR. GREGORY M DUCKETT (SR VP/ CLO) |
| Authorized Official Telephone | 9012275233 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST MEMORIAL HEALTH CARE CORP. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NEA Baptist Clinic Anesthesia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033491519 | Northeast Arkansas Clinic Charitable Foundation, Inc. | Clinic/Center | 4909 East Johnson Ave., Jonesboro, AR 72401 | 2011-09-12 |
| 1528399755 | Northeast Arkansas Clinic Charitable Foundation, Inc. | Clinic/Center | 1118 Windover, Jonesboro, AR 72401-6155 | 2010-01-28 |
| 1801127030 | Northeast Arkansas Clinic Charitable Foundation, Inc. | Clinical Medical Laboratory | 4802 E. Johnson Avenue, Jonesboro, AR 72401 | 2010-01-28 |
| 1932503372 | Northeast Arkansas Clinic Charitable Foundation, Inc. | Durable Medical Equipment & Medical Supplies | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2014-10-14 |
| 1912328428 | Northeast Arkansas Clinic Charitable Foundation, Inc. | Clinic/Center | 4808 E Johnson Ave, Jonesboro, AR 72401-8413 | 2013-12-31 |
| 1861721839 | Northeast Arkansas Clinic Charitable Foundation, Inc. | Clinic/Center | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2009-12-21 |
| Street Address |
4800 E JOHNSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-8413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134200 | Brock F Harris | Hospitalist | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-02-17 |
| 1780205740 | Andrea Duchow | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-30 |
| 1255950069 | Jackson Benjamin Troxel | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-11 |
| 1225657125 | Edwin Roy Mathews | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-10 |
| 1063031086 | Muaamar Baldawi | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-09 |
| 1003435108 | Refayat Ahsen | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-09 |
| 1770112377 | Julia Bottoni | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-06 |
| 1538797709 | Christian Paige Parnell | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-01 |
| 1013564525 | Jarryd A Dempsey | Physical Therapist | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-20 |
| 1437705910 | Tiffany Gail Kauffman | Clinical Nurse Specialist | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087092 | Richardson Anesthesia Pllc | Anesthesiology | 320 County Road 794, Jonesboro, AR 72405-7087 | 2019-08-08 |
| 1811918915 | Jeffery E Clayton | Anesthesiology | Jonesboro Anesthesia, Inc., 221 Hughes, Suite C, Jonesboro, AR 72401 | 2006-07-22 |
| 1659726933 | Anesthesia Services Associates Pllc | Anesthesiology | 2815 Longview Dr, Jonesboro, AR 72401-5919 | 2016-04-25 |
| 1811368327 | Jonesboro Anesthesia Services LLC | Anesthesiology | 601 E Matthews Ave, Jonesboro, AR 72401-3145 | 2015-10-09 |
| 1558641548 | Jonesboro Surgery Center Anesthesia Pllc | Anesthesiology | 623 E Matthews Ave, Suite C, Jonesboro, AR 72401-3145 | 2011-08-22 |
| 1306130208 | Lacey Perrin Parker | Anesthesiology | 1100 E Matthews Ave, Jonesboro, AR 72401-4314 | 2011-06-08 |
| 1407098890 | Michael Stephen Adams | Anesthesiology | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2009-03-31 |
| 1891968293 | Stacy Emmanuel Richardson | Anesthesiology | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2008-04-07 |
| 1609095934 | Reagan Baber | Anesthesiology | 3024 Stadium Blvd, Jonesboro, AR 82401-7415 | 2007-04-25 |
| 1811061351 | David Daniel | Anesthesiology | 4800 E Johnson Ave, Jonesboro, AR 72401 | 2006-11-17 |
| Find all providers in JONESBORO | ||||
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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.