Jabbar Joshua

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-5064 Issued in AR

Practice address

1400 Braden St
Jacksonville, AR 72076-3721

Phone

(501) 985-7000

Fax

(501) 985-7326

NPI assigned

Mar 16, 2007

Last updated

Dec 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, KY, VT, IL4 enrollments

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 4

Specialty

Emergency Medicine

Education

University of Arkansas College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Methodist Health, Inc.Group PAC ID 4981508454, 69 clinicians

Integritas Emergency Physician Services LLCGroup PAC ID 7113167446, 41 clinicians

HCC of El Dorado LLCGroup PAC ID 1850789488, 5 clinicians

Ouachita County Medical CenterGroup PAC ID 4587641055, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mena Regional Health System Hospital, Mena, AR, CCN 041334
• Franklin Hospital Hospital, Benton, IL, CCN 141321
• Pemiscot County Memorial Hospital Hospital, Hayti, MO, CCN 260780
• Ouachita County Medical Center Hospital, Camden, AR, CCN 040050
• Harlan Arh Hospital Hospital, Harlan, KY, CCN 180050

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 27)

Interoperability endpoints

• Direct secure messaging: jabbar.joshua.1@14285.direct.athenahealth.com

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

• Ouachita County Medical Center

  • Emergency Care Clinic/Center
  • Camden, AR
  • NPI 1346354826
  Medicare reassignment Care Compare group NPD
• Integritas Emergency Physician Services, LLC

  • Emergency Medicine Physician
  • Carbondale, IL
  • NPI 1790128817
  Medicare reassignment Care Compare group NPD
• Methodist Health, Inc.

  dba Deaconess Henderson Emergency

  • Emergency Medicine Physician
  • Henderson, KY
  • NPI 1912544958
  Medicare reassignment Care Compare group NPD
• HCC of El Dorado LLC

  • Hospitalist Physician
  • El Dorado, AR
  • NPI 1003578725
  Medicare reassignment Care Compare group
• Arkansas Emergency Staffing Solutions, Inc

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1275774630
  Medicare reassignment NPD
• Baptist Medcare, Inc

  dba Little Rock Emergency Doctors Group

  • Emergency Medicine Physician
  • Little Rock, AR
  • NPI 1699868323
  Medicare reassignment NPD
• Ess of Fordyce LLC

  • Emergency Medicine Physician
  • Fordyce, AR
  • NPI 1821547977
  Medicare reassignment NPD
• Ess of McGehee LLC

  • Emergency Medicine Physician
  • McGehee, AR
  • NPI 1639822653
  Medicare reassignment NPD
• HCC of Magnolia LLC

  • Hospitalist Physician
  • Magnolia, AR
  • NPI 1831865872
  Medicare reassignment NPD
• Hospital Care Consultants of Fordyce LLC

  • Hospitalist Physician
  • Fordyce, AR
  • NPI 1316497464
  Medicare reassignment NPD
• Monticello Ess LLC

  • Emergency Medicine Physician
  • Monticello, AR
  • NPI 1184010753
  Medicare reassignment NPD
• Pafford Physician Services Em PLLC

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1689445330
  Medicare reassignment NPD

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

• Mena Hospital Commission

  dba Mena Regional Health System

  • Critical Access Hospital
  • Mena, AR
  • NPI 1861449639
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • General Acute Care Hospital
  • Harlan, KY
  • NPI 1306842521
  Care Compare affiliation
• Franklin Hospital District

  • Critical Access Hospital
  • Benton, IL
  • NPI 1699778951
  Care Compare affiliation
• Pemiscot County Memorial Hospital

  • Rural Acute Care Hospital
  • Hayti, MO
  • NPI 1437179710
  Care Compare affiliation

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1164556460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 INNSBROOKE CV",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763680",
            "telephone_number": "501-903-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRADEN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763721",
            "telephone_number": "501-985-7000",
            "fax_number": "501-985-7326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Innsbrooke Cv",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AR",
            "postal_code": "72076",
            "country_code": "US",
            "telephone_number": "903-280-4623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSHUA",
        "first_name": "JABBAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-5064",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-5064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166985001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loren McKenzie Jones
• Morrigane Rochelle Jones, QBHP
• Pamela A Jones, OTR/L
• Jordan Todd Cooper DDS PA (Cooper Family Dentistry)
• Josh Mansfield DDS, PLLC
• Alexandria Danielle Julian, COTA/L
• Justin S. McMinn, O.D.,P.a. (McMinn Eye Care Clinic)
• Stephanie Kapp, PT
• Adam Lynn Keathley, PHARMD
• Erica M Keathley, QBHP

• Family Medicine Physician in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.