JEFFERSON HOSPITAL ASSOCIATION, INC. (NPI# 1306097365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306097365 |
| Entity Type | Organization |
| Organization Name | JEFFERSON HOSPITAL ASSOCIATION, INC. |
| Other Organization Name | ENDOCRINOLOGY OF SOUTH ARKANSAS |
| Practice Address |
7500 Dollarway Rd Suite 404 White Hall AR 71602-3027 |
| Practice Telephone | 8708799595 |
| Practice Fax Number | 8708799599 |
| Mailing Telephone | 8708799595 |
| Mailing Fax Number | 8708799599 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2011-01-21 |
| Authorized Official Name | WALTER JOHNSON (CEO) |
| Authorized Official Telephone | 8705417269 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 176263002 | 05 | |
| AR | BLUE CROSS BLUE SHIELD | 5G130 | 01 |
| Other Name | Type Code |
|---|---|
| ENDOCRINOLOGY OF SOUTH ARKANSAS | 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 |
| 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 |
| Street Address |
7500 DOLLARWAY RD SUITE 404 |
| City | WHITE HALL |
| State | AR |
| Zip Code | 71602-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902888720 | John E. Harris | Family Medicine | 7500 Dollarway Rd, Suite 104, White Hall, AR 71602-3027 | 2005-11-17 |
| 1295108892 | Michael Hanna | Occupational Therapy Assistant | 7500 Dollarway Rd, Suite 203, White Hall, AR 71602-3027 | 2015-11-04 |
| 1316256985 | Sleep Partners, LLC | Clinic/Center | 7500 Dollarway Rd, White Hall, AR 71602-3027 | 2010-09-30 |
| 1770899122 | Out of Knowhere Pllc | Massage Therapist | 7500 Dollarway Rd, Suite 301, White Hall, AR 71602-3027 | 2010-08-24 |
| 1932432135 | Montessa N Elkins | Physical Therapist | 7500 Dollarway Rd, Suite 107, White Hall, AR 71602 | 2009-09-08 |
| 1245463769 | Cedric D Watts | Massage Therapist | 7500 Dollarway Rd, Suite 301, White Hall, AR 71602-3027 | 2009-09-01 |
| 1568627537 | United Pain Care, White Hall | Anesthesiology | 7500 Dollarway Rd, White Hall, AR 71602-3027 | 2008-07-18 |
| 1962552760 | James Stephen Guffey | Physical Therapist | 7500 Dollarway Rd, Ste 107, White Hall, AR 71602 | 2007-01-12 |
| 1801901509 | Maher Alesali | Internal Medicine | 7500 Dollarway Rd, Suite 404, White Hall, AR 71602-3027 | 2006-08-20 |
| 1144269978 | Lee Andrew Davis Jr. | Internal Medicine | 7500 Dollarway Rd, Suite 301, White Hall, AR 71602-3027 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
| 1609399963 | Interventional Surgery Institute of White Hall LLC | Clinic/Center | 7211 Dollarway Road, White Hall, AR 71602 | 2017-07-19 |
| 1679935761 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 7211 Dollarway Rd, White Hall, AR 71602 | 2016-03-28 |
| 1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
| 1275873515 | Craig Paul Anderson | Preventive Medicine | 13-020 Kabrich Circle, Pine Bluff, AR 71602 | 2013-02-24 |
| 1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
| 1275789109 | Sarah Allison Rushing | Speech-Language Pathologist | 1020 West Holland Avenue, White Hall, AR 71602 | 2008-08-12 |
| 1245438852 | White Hall School District | Local Education Agency (LEA) | 1020 West Holland, White Hall, AR 71602 | 2007-07-05 |
| 1972622652 | Dewey Charles Scarbrough | Physician Assistant | 109 Frankie Lane, White Hall, AR 71602 | 2007-03-27 |
| 1427126135 | Donna D Massey | Dentist | 7215 Sheridan Road, White Hall, AR 71602 | 2006-12-01 |
| Find all providers in zip 71602 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225576382 | White Hall Walk In Clinic Pa | Clinic/Center | 7250 Sheridan Rd, White Hall, AR 71602-3224 | 2017-02-08 |
| 1043692718 | Raymed Pa | Clinic/Center | 7250 Sheridan Road, White Hall, AR 71602-0000 | 2015-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176020 | Neaville Internal Medicine Pllc | Clinic/Center | 3000 Jennings Ln Ste H, Batesville, AR 72501-7255 | 2020-08-25 |
| 1508488255 | Skinner Family Dentistry | Clinic/Center | 312 E Kiehl Ave, Sherwood, AR 72120-2922 | 2020-05-15 |
| 1629602008 | Rose Counseling and Consulting Pllc | Clinic/Center | 204 Executive Ct Ste 101, Little Rock, AR 72205-4542 | 2020-02-25 |
| 1003450230 | Raising The Standards of Care LLC | Clinic/Center | 361 Southwest Dr Ste 771, Jonesboro, AR 72401-5854 | 2019-10-31 |
| 1497397897 | Way To Grow LLC | Clinic/Center | 307 Rockwell St, Hot Springs, AR 71913-6013 | 2019-10-17 |
| 1144876418 | Arkmed Healthcare Associates, Pllc | Clinic/Center | 3906 Lakeview Rd, North Little Rock, AR 72116-7305 | 2019-08-13 |
| 1508411422 | Sbs Investments LLC | Clinic/Center | 3114 Fox Rd Ste D, Jonesboro, AR 72404-9577 | 2019-08-07 |
| 1093368623 | Taylored Therapies, Pllc | Clinic/Center | 1004 Beau Terre Dr Ste 507, Bentonville, AR 72712-6799 | 2019-07-23 |
| 1811553555 | Diet of A Lifetime, LLC | Clinic/Center | 123 S Pine St, Pine Bluff, AR 71601-4222 | 2019-05-17 |
| 1043777436 | Amethyst Chiropractic | Clinic/Center | 1100 Mallard Pl Ste A, Bentonville, AR 72712-6850 | 2019-02-21 |
| Find all providers with the same taxonomy | ||||
| City | WHITE HALL |
| Zip Code | 71602 |
Please comment or provide details below to improve the information on JEFFERSON HOSPITAL ASSOCIATION, INC..
| 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.