The Surgical Hospital of Jonesboro

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

AR4164 Issued in AR

Legal business name

THE SURGICAL HOSPITAL OF JONESBORO

Practice address

909 Enterprise Dr
Jonesboro, AR 72401-9201

Phone

(870) 336-1100

Fax

(870) 336-1134

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Nate Miller

Title

Cfo

Phone

(870) 336-1100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043336522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25943",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731250943",
            "telephone_number": "870-336-1100",
            "fax_number": "870-336-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ENTERPRISE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724019201",
            "telephone_number": "870-336-1100",
            "fax_number": "870-336-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGICAL HOSPITAL OF JONESBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-336-1100"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "AR4164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10145",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Learning Center of Northeast Arkansas, Inc.
• The Learning Center of Northeast Arkansas, Inc.
• The Logan Centers, Inc.
• The Pit Physical Therapy and Performance PLLC
• The Practice: Therapeutic Counseling Services
• The Surgical Hospital of Jonesboro
• Lydia Hope Theisen
• Thera-Play Pediatric Therapy Associates (Playtime Therapy Center)
• Thera-Play Pediatric Therapy Associates
• Therapeutic Exercise Rehabilitation & Wellness, Inc

• General Acute Care Hospital in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• General Acute Care Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.