JEFFERSON HOSPITAL ASSOCIATION INC NPI 1932157674

NPI Information

  • NPI: 1932157674
  • Provider Name: JEFFERSON HOSPITAL ASSOCIATION, INC
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Organization
  • Address: 1601 W 40TH AVE
    SUITE 301
    PINE BLUFF, AR
    ZIP 71603
  • Phone: (870) 879-3007

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NPI Details

JEFFERSON HOSPITAL ASSOCIATION, INC is a pulmonary disease internal medicine in Pine Bluff, AR. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. JEFFERSON HOSPITAL ASSOCIATION, INC NPI is 1932157674. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1601 W 40TH AVE
SUITE 301
PINE BLUFF, AR
ZIP 71603-319
Phone: (870) 879-3007
Fax: (870) 879-3008

The provider's authorized official is Peter Austin .
The authorized official title is Coo and has the following contact phone number (870) 541-7100.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 7/12/2023.

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
1207LP2900XAnesthesiologyPain MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RH0003XInternal MedicineHematology & OncologyNo
6207RI0011XInternal MedicineInterventional CardiologyNo
7207RN0300XInternal MedicineNephrologyNo
8207RR0500XInternal MedicineRheumatologyNo
9207VX0000XObstetrics & GynecologyObstetricsNo
10207Y00000XOtolaryngologyNo
11208000000XPediatricsNo
122084N0400XPsychiatry & NeurologyNeurologyNo
13208600000XSurgeryNo
14208800000XUrologyNo
15207RP1001XInternal MedicinePulmonary DiseaseYes

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
1152571002MEDICAIDARKANSAS

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: 3/30/2025

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