Individual provider Active NPI

Benjamin J. Jumper, MD

  • Anesthesiology Physician
  • El Dorado, AR
National Provider Identifier
1003035338
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E-6711 Issued in AR
Practice address
700 W. Grove Street
El Dorado, AR 71730
Phone
(870) 863-2000
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E-6711 AR Primary

Addresses

Primary practice location

700 W. Grove Street
El Dorado, AR 71730

Mailing address

PO Box 452035
Sunrise, FL 33345-2035
Phone (800) 437-2672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000530 AR Practitioner - Anesthesiology 2365622453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

700 W Grove St
Medical Center of South Arkansas
El Dorado, AR 71730-4416
Phone (870) 863-2000

Hospital & facility affiliations

  • South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-6711ARMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Youngs Professional Services LLC CurrentSince Jan 27, 2020 Accepting new patients
Capital Anesthesia Solutions of Arkansas, LLC Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/facb3d8f-6852-409a-a1db-46cde625b434

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1003035338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452035",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333452035",
            "telephone_number": "800-437-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W. GROVE STREET",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-863-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMPER",
        "first_name": "BENJAMIN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-6711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.