Jack Havdala (NPI# 1477558955, PAC ID# 3476543372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1477558955 |
| PAC ID by PECOS | 3476543372 |
| Professional Enrollment ID | I20040513000729 |
| Full Name | Jack Havdala |
| Organization Legal Name | CARDIOLOGY ASSOCIATES OF JONESBORO, INC |
| Address |
201 E Oak Ave Jonesboro AR 72401-4163 |
| Phone Number | 8709356729 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1990 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | CARDIAC SURGERY, THORACIC SURGERY, VASCULAR SURGERY |
| Group Practice PAC ID | 8224218425 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040020 | ST BERNARDS MEDICAL CENTER |
| 040119 | WHITE RIVER MEDICAL CENTER |
| 041307 | CROSSRIDGE COMMUNITY HOSPITAL |
| 041330 | PIGGOTT COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 E Oak Ave, Jonesboro, AR 72401-4163 | 8709356729 | CARDIOLOGY ASSOCIATES OF JONESBORO, INC |
| Organization Legal Name | CARDIOLOGY ASSOCIATES OF JONESBORO, INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie N Mcmellon | Nurse Practitioner | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Roger D Hill | Cardiovascular Disease (cardiology) | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Amanda Michelle Anderson | Nurse Practitioner | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Deborah Darlene Shipman | Nurse Practitioner | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Shayna Nunn | Nurse Practitioner | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| David T Vance | Cardiac Electrophysiology | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Starla D Emery | Nurse Practitioner | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Ahmed Salah Ahmed | Interventional Cardiology | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Angie Holifield | Nurse Practitioner | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Maximiliano Arroyo | Cardiovascular Disease (cardiology) | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Street Address |
201 E OAK AVE |
| City | JONESBORO |
| State | AR |
| Zip | 72401-4163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy Maupin Jr. | Nurse Practitioner | Arrhythmia Associates of Nea, LLC | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Jennifer M Sifford | Nurse Practitioner | Arrhythmia Associates of Nea, LLC | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Stephanie N Mcmellon | Nurse Practitioner | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Roger D Hill | Cardiovascular Disease (cardiology) | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Kristen Paige Neldon | Nurse Practitioner | Arrhythmia Associates of Nea, LLC | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Amanda Michelle Anderson | Nurse Practitioner | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Deborah Darlene Shipman | Nurse Practitioner | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Shayna Nunn | Nurse Practitioner | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| David T Vance | Cardiac Electrophysiology | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Starla D Emery | Nurse Practitioner | Cardiology Associates of Jonesboro, Inc | 201 E Oak Ave, Jonesboro, AR 72401-4163 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence W Gordon | Ophthalmology | Mid South Retina Associates, LLC | 820 E Matthews, E, Jonesboro, AR 72401 |
| Carl J Abraham Jr. | Infectious Disease | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Brookshield Laurent | Family Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Joy C Skaug | Emergency Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Megan L Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Jacob P Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Cristina L Shaw | Clinical Social Worker | St Bernards Hospital Inc | 2712 E Johnson, Jonesboro, AR 72401-1874 |
| Karen J Reinertsen | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Eloise E Weeks | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Lillian Somner | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Find all physicians in zip 72401 | |||
| City | JONESBORO |
| Zip Code | 72401 |
| Specialty | GENERAL SURGERY |
| City + Specialty | JONESBORO + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jack Havdala.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.