SURGERY CENTER AT THE RESERVE, P.A., INC. (NPI# 1639615297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639615297 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER AT THE RESERVE, P.A., INC. |
| Practice Address |
2241 Hillpark Cove Suite B Jonesboro AR 72401 |
| Practice Telephone | 8703335747 |
| Mailing Telephone | 8703335747 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Authorized Official Name | MR. KEITH CHRESTMAN (AGENT) |
| Authorized Official Telephone | 8709338517 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
2241 HILLPARK COVE SUITE B |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1598758153 | Outpatient Surgery Center of Jonesboro LLC | Clinic/Center | 1100 E Matthews Ave, Jonesboro, AR 72401-4314 | 2005-08-29 |
| 1386165504 | Emory Clinic Inc | Clinic/Center | 7813 Spivey Station Blvd, Jonesboro, GA 30236-2900 | 2017-06-28 |
| 1487012480 | Lake Spivey Ambulatory Surgery Care, LLC | Clinic/Center | 7813 Spivey Station Blvd, Suite 100, Jonesboro, GA 30236-2900 | 2016-02-04 |
| 1528478849 | Vein Specialists of Arkansas | Clinic/Center | 2239 S Caraway Rd, Suite N, Jonesboro, AR 72401-6204 | 2014-05-08 |
| 1558562579 | International Center for Foot & Ankle Surgery | Clinic/Center | 7130 Mount Zion Blvd, Suite 14, Jonesboro, GA 30236-2566 | 2007-05-29 |
| 1578643607 | Pain Center LLC | Clinic/Center | 505 E Matthews Ave, Suite 103, Jonesboro, AR 72401-3144 | 2006-10-16 |
| 1508974353 | Southlake Ambulatory Surgery Center, Lllp | Clinic/Center | 7813 Spivey Station Blvd, Suite 100, Jonesboro, GA 30236-0000 | 2006-08-29 |
| 1457379364 | Jonesboro Surgery Center, LLC | Clinic/Center | 623 E Matthews Ave, Suite C, Jonesboro, AR 72401-3145 | 2006-07-18 |
| 1720023500 | Center for Reconstructive Surgery | Clinic/Center | 7130 Mount Zion Blvd, Suite 14, Jonesboro, GA 30236-2518 | 2006-06-17 |
| 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.