Jefferson Hospital Association, Inc
NPI 1174542906ActiveOrganization· Internal Medicine, Cardiovascular Disease· Pine Bluff, AR
Internal Medicine, Cardiovascular Disease in Pine Bluff, Arkansas, registered in NPPES in July 2006. The authorized official on file is Walter Johnson, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174542906 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2006 |
| Last updated in NPPES | Mar 18, 2020 |
| Certified by provider | Mar 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | E-4501 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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