Active NPI
Jeffrey Goodhart, CRNA
- Certified Registered Nurse Anesthetist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 121830
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R088752 | AR | MD | Registered Nurse |
| 121830 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group | Current | Accepting new patients | |
| Premier Anesthesia of Arkansas Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arkansas Anesthesia Associates, PLLC. | Current | Accepting new patients | |
| Western Arkansas Anesthesiology Associates P.a. | Current | Accepting new patients | |
| Arkansas Surgical Hospital, LLC | Current | Accepting new patients | |
| Orthoarkansas, PA | Current | Accepting new patients | |
| Southern Regional Anesthesiology Consultants PLLC | Current | Accepting new patients | |
| Anesthesia and Pain Management Assoc., P.a. | Current | Accepting new patients | |
| Western Arkansas Obstetric Anesthesia LLC | Current | Accepting new patients | |
| Orthoarkansas, PA | Current | 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
- https://api.platform.athenahealth.com/1376/brand/1/csg/1/fhir/r4
- 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.
-
- Anesthesiology Physician
- Searcy, AR
- NPI 1689621245
-
- Anesthesiology Physician
- Benton, AR
- NPI 1497023360
-
- Anesthesiology Physician
- North Little Rock, AR
- NPI 1265192835
-
- Specialist
- Little Rock, AR
- NPI 1952336869
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1932519485
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Little Rock, AR
- NPI 1902231673
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134176480
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1548202294
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1952671703
-
- Radiology Clinic/Center
- Little Rock, AR
- NPI 1154823961
-
- General Acute Care Hospital
- Searcy, AR
- NPI 1568406536
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.