Individual provider Active NPI

Jeffrey Goodhart, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1124459680
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
121830 Issued in AR
Practice address
6119 Midtown Ave Ste 101
Little Rock, AR 72205-5316
Phone
(501) 404-8007
Fax
(501) 904-3620
NPI assigned
Dec 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R088752 AR
Certified Registered Nurse Anesthetist 367500000X 121830 AR Primary

Addresses

Primary practice location

6119 Midtown Ave Ste 101
Little Rock, AR 72205-5316

Mailing address

800 Fair Park Blvd
Little Rock, AR 72204-1720
Phone (501) 404-8007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191009002651 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456622331 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R088752ARMDRegistered Nurse
121830ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Sep 3, 2019 Accepting new patients
Arkansas Anesthesia Associates, PLLC. CurrentSince Jan 1, 2023 Accepting new patients
Western Arkansas Anesthesiology Associates P.a. CurrentSince Jun 1, 2022 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Aug 1, 2025 Accepting new patients
Orthoarkansas, PA CurrentSince Nov 22, 2024 Accepting new patients
Southern Regional Anesthesiology Consultants PLLC CurrentSince Sep 12, 2023 Accepting new patients
Anesthesia and Pain Management Assoc., P.a. CurrentSince Apr 26, 2023 Accepting new patients
Western Arkansas Obstetric Anesthesia LLC CurrentSince Jun 1, 2022 Accepting new patients
Orthoarkansas, PA CurrentSince Nov 22, 2024 Accepting new patients
White County Medical Center Past Accepting new patients

Locations

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

500 S University Ave
Ste 500
Little Rock, AR 72205
Phone (501) 320-1101

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

6119 Midtown Ave
Ste 101
Little Rock, AR 72205
Phone (501) 404-8007

800 Fair Park Blvd
Little Rock, AR 72204
Phone (501) 404-8007

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

710 Marion St
Ste 101
Searcy, AR 72143

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1376/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1376/brand/1/csg/21/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1124459680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FAIR PARK BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041720",
            "telephone_number": "501-404-8007",
            "fax_number": "501-904-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 MIDTOWN AVE STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055316",
            "telephone_number": "501-404-8007",
            "fax_number": "501-904-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODHART",
        "first_name": "JEFFREY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-10",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R088752",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "121830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.