Wellformed AI

NPI 1932157674 · live from the CMS NPI Registry

Jefferson Hospital Association, INC

Internal Medicine, Pulmonary Disease in Pine Bluff, AR. National Provider Identifier 1932157674, active.

NPI record

NPI1932157674 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine, Pulmonary Disease 207RP1001X
Practice location1601 W 40th Ave, Suite 301, Pine Bluff, AR 71603
Practice phone870-879-3007
Mailing addressPo Box 2650, Pine Bluff, AR 71613
EnumeratedMay 5, 2006
Last updatedJuly 12, 2023
Authorized officialPeter Austin, Coo

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology, Pain Medicine207LP2900X—
Internal Medicine, Cardiovascular Disease207RC0000X—
Internal Medicine, Endocrinology, Diabetes & Metabolism207RE0101X—
Internal Medicine, Gastroenterology207RG0100X—
Internal Medicine, Hematology & Oncology207RH0003X—
Internal Medicine, Interventional Cardiology207RI0011X—
Internal Medicine, Nephrology207RN0300X—
Internal Medicine, Rheumatology207RR0500X—
Obstetrics & Gynecology, Obstetrics207VX0000X—
Otolaryngology207Y00000X—
Pediatrics208000000X—
Psychiatry & Neurology, Neurology2084N0400X—
Surgery208600000X—
Urology208800000X—
Internal Medicine, Pulmonary Disease primary207RP1001X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.