Jacquelyn S. Frigon, M.D., P.a.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

R2808 Issued in AR

Legal business name

JACQUELYN S. FRIGON, M.D., P.A.

Practice address

1801 W 40TH Ave
Suite 5B
Pine Bluff, AR 71603-6940

Phone

(870) 535-4800

Fax

(870) 535-4804

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jacquelyn S Frigon, M.D.

Title

Owner

Phone

(870) 535-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacquelyn Sue Frigon MD PA

  • Specialist
  • Pine Bluff, AR
  • NPI 1275512642

  AR

  Medicare reassignment NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1164530226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "SUITE 5B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036940",
            "telephone_number": "870-535-4800",
            "fax_number": "870-535-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "SUITE 5B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036940",
            "telephone_number": "870-535-4800",
            "fax_number": "870-535-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELYN S. FRIGON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "FRIGON",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-535-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "R2808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103056001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janiya Jackson
• Javits L Jackson
• Porter Jackson III, D.C.
• Teresa Jackson, CLS, ASCP
• Willie D Tarressa Jackson
• Naznin Jamal, MD
• James a. Campbell MD & Associates PC
• James Alan Pollard MD PA
• James Steven Cash, MD PA
• James Trice M.D.P.a.

• All providers in Pine Bluff, AR
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.