JONESBORO SURGERY CENTER ANESTHESIA PLLC (NPI# 1558641548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558641548 |
| Entity Type | Organization |
| Organization Name | JONESBORO SURGERY CENTER ANESTHESIA PLLC |
| Practice Address |
623 E Matthews Ave Suite C Jonesboro AR 72401-3145 |
| Practice Telephone | 8709348010 |
| Practice Fax Number | 8709348020 |
| Mailing Telephone | 8709348010 |
| Mailing Fax Number | 8709348020 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | MRS. MICHELLE BACOT (ADMINISTRRATOR) |
| Authorized Official Telephone | 8709348010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
623 E MATTHEWS AVE SUITE C |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104876846 | Cynthia Lou Crews | Nurse Anesthetist, Certified Registered | 623 E Matthews Ave, Suite C, Jonesboro, AR 72401-3145 | 2006-05-11 |
| 1417260019 | Vanessa Wall | Optometrist | 623 E Matthews Ave, Jonesboro, AR 72401-3145 | 2010-07-23 |
| 1417098153 | Thomas L Nix | Ophthalmology | 623 E Matthews Ave, Jonesboro, AR 72401-3145 | 2007-02-08 |
| 1376562595 | Crews-peters Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 623 E Matthews Ave, Suite C, Jonesboro, AR 72401-3145 | 2006-07-19 |
| 1457379364 | Jonesboro Surgery Center, LLC | Clinic/Center | 623 E Matthews Ave, Suite C, Jonesboro, AR 72401-3145 | 2006-07-18 |
| 1215968425 | Russell Lee Harral IIi | Ophthalmology | 623 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-07-05 |
| 1730110958 | Joseph Charles Stainton | Ophthalmology | 623 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-07-05 |
| 1104857333 | Jerry Tuck Young | Optometrist | 623 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-07-05 |
| 1447288097 | Vision Care Center of Northeast Arkansas LLC | Ophthalmology | 623 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-06-30 |
| 1992733562 | Alyssa Nicole Wenger | Ophthalmology | 623 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-06-30 |
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| 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 |
| 1306130208 | Lacey Perrin Parker | Anesthesiology | 1100 E Matthews Ave, Jonesboro, AR 72401-4314 | 2011-06-08 |
| 1992036032 | Northeast Arkansas Clinic Charitable Foundation, Inc. | Anesthesiology | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2010-01-28 |
| 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 |
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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.