Jeff M Audibert (NPI# 1407801723, PAC ID# 9234178252) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1407801723 |
| PAC ID by PECOS | 9234178252 |
| Professional Enrollment ID | I20050428001140 |
| Full Name | Jeff M Audibert |
| Organization Legal Name | ARKANSAS EMERGENCY STAFFING SOLUTIONS INC |
| Address |
2729 S Hwy 65 and 82 Lake Village AR 71653-6136 |
| Phone Number | 8702655351 |
| Gender | M |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3274681341 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040051 | DREW MEMORIAL HOSPITAL |
| 370172 | CHOCTAW NATION HEALTH SERVICES AUTHORITY |
| 041306 | COMMUNITY MEDICAL CENTER IZARD COUNTY |
| 041308 | MCGEHEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 | 8702655351 | ARKANSAS EMERGENCY STAFFING SOLUTIONS INC |
| 900 S 3rd St, Mc Gehee, AR 71654-2562 | 8706904150 | MCGEHEE HOSPITAL INCORPORATED |
| 778 Scogin Dr, Monticello, AR 71655-5729 | 8703672411 | MONTICELLO ESS LLC |
| 1 Choctaw Way, Talihina, OK 74571-2022 | 9185677000 | CHOCTAW NATION OF OKLAHOMA |
| Organization Legal Name | ARKANSAS EMERGENCY STAFFING SOLUTIONS INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohanned H Ahmed | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Brandon M. Thurow | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 1341 W 6th St, Waldron, AR 72958-7642 |
| Kenneth C Prather | General Practice | Arkansas Emergency Staffing Solutions Inc | 1015 Unity Rd, Crossett, AR 71635-9443 |
| Jabbar Abdul Joshua | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 1015 Unity Rd, Crossett, AR 71635-9443 |
| Zachary T Tippin | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 880 W Main St, Booneville, AR 72927-3443 |
| James W Murdock | Emergency Medicine | Arkansas Emergency Staffing Solutions Inc | 1341 W 6th St, Waldron, AR 72958-7642 |
| Samuel Turner | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Joe D May | Hospitalist | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Ugochukwu Nwude | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 1015 Unity Rd, Crossett, AR 71635-9443 |
| Lance R Mcadams | Emergency Medicine | Arkansas Emergency Staffing Solutions Inc | 1341 W 6th St, Waldron, AR 72958-7642 |
| Street Address |
2729 S HWY 65 AND 82 |
| City | LAKE VILLAGE |
| State | AR |
| Zip | 71653-6136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohanned H Ahmed | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Samuel Turner | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Michael B. Mayfield | General Surgery | Chicot Memorial Medical Center | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Joe D May | Hospitalist | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Ronald D Tanner | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amita N Patel | Nephrology | 1403 St Mary, Lake Village, AR 71653-0001 | |
| Autumn M Bennett | Nurse Practitioner | 905 Borgognoni Dr, Lake Village, AR 71653-1623 | |
| Mark Robinson | Optometry | 1655 S Hwy 65 82, Lake Village, AR 71653-1661 | |
| James C Wright | Family Medicine | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| Jo Anne Gregory | Family Medicine | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| Christopher M Johnson | Nurse Practitioner | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| John P Burge | General Surgery | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| John R Russell | Family Medicine | 2918 Louis Session St, Lake Village, AR 71653-6049 | |
| Justin G Gates | Certified Registered Nurse Anesthetist (crna) | Chicot Memorial Medical Center | 2729 Hwy 65 and 82 S, Chicot Memorial Anesthesia Services, Lake Village, AR 71653-6136 |
| Ben P Folk Iii | Cardiovascular Disease (cardiology) | 2729s Hwy 65 82, Lake Village, AR 71653-6136 | |
| Find all physicians in zip 71653 | |||
| City | LAKE VILLAGE |
| Zip Code | 71653 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAKE VILLAGE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jeff M Audibert.
| 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.