DR. JAY DANIEL GEOGHAGAN (NPI# 1407840101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407840101 |
| Entity Type | Individual |
| Full Name | DR. JAY DANIEL GEOGHAGAN |
| Credential | M.D. |
| Practice Address |
3343 Springhill Dr Suite 1035 North Little Rock AR 72117-2929 |
| Mailing Address |
3343 Springhill Dr Ste 1035 North Little Rock AR 72117-2929 |
| Practice Telephone | 5019757676 |
| Practice Fax Number | 5015370206 |
| Mailing Telephone | 5019757676 |
| Mailing Fax Number | 5015370206 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2011-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
E-2040 | AR | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME88853 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | RAILROAD MEDICARE | CC6745 | 01 |
| AR | RAILROAD MEDICARE | CN1884 | 01 |
| AR | BLUE CROSS BLUE SHIELD | 5N795 | 01 |
| Street Address |
3343 SPRINGHILL DR SUITE 1035 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126006 | Stephen R Marks | Obstetrics & Gynecology | 3343 Springhill Dr, Ste 1005, North Little Rock, AR 72117-2930 | 2005-07-07 |
| 1881995702 | Nazer H. Qureshi, Md P.a. | Neurological Surgery | 3343 Springhill Dr, Suite 2050, North Little Rock, AR 72117-2929 | 2010-11-09 |
| 1043470487 | Robert W Conner | Nurse Anesthetist, Certified Registered | 3343 Springhill Dr, North Little Rock, AR 72117-2929 | 2008-06-10 |
| 1043420029 | Kari Kajitani | Family Medicine | 3343 Springhill Dr, Suite 2045, North Little Rock, AR 72117-2929 | 2007-05-22 |
| 1760557714 | Phillip R Alston Md Pa | Obstetrics & Gynecology | 3343 Springhill Dr, Ste 1005, North Little Rock, AR 72117-2930 | 2006-11-22 |
| 1790856383 | Heart Surgery Little Rock, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3343 Springhill Dr, Suite 2045, North Little Rock, AR 72117-2929 | 2006-11-13 |
| 1346265584 | Twin City Urology Associates, P.a. | Urology | 3343 Springhill Dr, Suite 3010, North Little Rock, AR 72117-2929 | 2006-07-12 |
| 1023061850 | Charles R Caldwell Jr. | Internal Medicine | 3343 Springhill Dr, Suite 1035, North Little Rock, AR 72117-2929 | 2006-05-19 |
| 1497725493 | Robert Taylor Love IIi | Plastic Surgery | 3343 Springhill Dr, Suite 3010, North Little Rock, AR 72117-2929 | 2006-01-24 |
| 1821085226 | Karen C Burks | Family Medicine | 3343 Springhill Dr, Suite 500, North Little Rock, AR 72117-2929 | 2005-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861706046 | Yazan Zuhair Ghosheh | Internal Medicine | 4000 Richards Rd Ste A, North Little Rock, AR 72117-2939 | 2010-07-30 |
| 1730130956 | Mark Anthony St.pierre | Internal Medicine | 4000 Richards Road, Ste A, North Little Rock, AR 72117 | 2006-05-12 |
| 1053382473 | Jeffrey H Neuhauser | Internal Medicine | 3343 Springhill, Ste 1035 Arkansas Cardiology, North Little Rock, AR 72117 | 2006-02-01 |
| 1487927919 | Baptist Health | Internal Medicine | 3343 Springhill Drive, Suite 1035, North Little Rock, AR 72117-2930 | 2012-02-14 |
| 1104939636 | Morris Eugene Kelley | Internal Medicine | 4000 Richards Rd, Suite A, North Little Rock, AR 72117-2650 | 2006-08-17 |
| 1437193109 | James Rodney Parkhurst | Internal Medicine | 4000 Richards Road, Suite A, North Little Rock, AR 72117 | 2006-06-15 |
| 1518907807 | Marvin Winston Ashford Jr. | Internal Medicine | 4000 Richards Road, Suite A, North Little Rock, AR 72117 | 2006-06-07 |
| 1023061850 | Charles R Caldwell Jr. | Internal Medicine | 3343 Springhill Dr, Suite 1035, North Little Rock, AR 72117-2929 | 2006-05-19 |
| 1053384974 | Thomas D Conley | Internal Medicine | 3343 Springhill, St 1035, North Little Rock, AR 72117 | 2006-02-10 |
| 1396717732 | Eugene M Jones | Internal Medicine | 3343 Springhill, Suite 1035, North Little Rock, AR 72117 | 2006-02-01 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
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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.