JEFFERSON ANESTHESIOLOGY ASSOCIATES NPI 1023005550

NPI Information

  • NPI: 1023005550
  • Provider Name: JEFFERSON ANESTHESIOLOGY ASSOCIATES
  • Classification: Anesthesiology - 207L00000X
  • Entity Type: Organization
  • CLIA Number: 04D2281704
  • Address: 1801 W 40TH AVE
    SUITE 2B
    PINE BLUFF, AR
    ZIP 71603
  • Phone: (870) 535-7457

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NPI Details

JEFFERSON ANESTHESIOLOGY ASSOCIATES is an anesthesiology in Pine Bluff, AR. The provider is 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. JEFFERSON ANESTHESIOLOGY ASSOCIATES NPI is 1023005550. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 W 40TH AVE
SUITE 2B
PINE BLUFF, AR
ZIP 71603-900
Phone: (870) 535-7457

The provider's authorized official is Ferdinand K Samuel .
The authorized official title is Administrator/partner and has the following contact phone number (870) 535-7457.

The CLIA number assigned to this NPI record is 04D2281704 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/30/2005 and was last updated on 4/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
157360OTHERARKANSASBCBS
2CP0148OTHERRRMCR/PGBA
3=========001OTHERTRICARE/HUMANA
4103014002MEDICAIDARKANSAS
557360MEDICARE ID-TYPE UNSPECIFIEDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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