Jefferson Anesthesiology Associates

LBN: Jefferson Anesthesiology Associates
Jefferson Anesthesiology Associates is an health care organization with primary practice located at 1801 W 40Th Ave Suite 2B, Pine Bluff AR 71603-6900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Jefferson Anesthesiology Associates can be contacted via phone (870) 535-7457, or through Samuel, Ferdinand K via phone (870) 535-7457.

Contact Information

Primary practice address
1801 W 40Th Ave Suite 2B Pine Bluff AR 71603-6900
Phone: (870) 535-7457
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Samuel, Ferdinand K Doctor of Medicine (MD)
Phone: (870) 535-7457

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1023005550
LBN Legal business name Jefferson Anesthesiology Associates
DBA Doing business as
Authorized official Samuel, Ferdinand K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2005
Last updated Apr 13th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023005550 NPPES
Arkansas Other 57360 BCBS
Arkansas Other CP0148 BCBS
Arkansas MEDICAID 103014002 BCBS

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