Jefferson Hospital Association, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JEFFERSON HOSPITAL ASSOCIATION, INC.

Doing business as

Jefferson Hospitalist Services

Practice address

1600 W 40TH Ave
Attn: Hospitalist Program
Pine Bluff, AR 71603-6301

Phone

(870) 850-6053

Fax

(870) 850-6482

NPI assigned

Jun 7, 2006

Last updated

Jul 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanya M Simpson

Title

President

Phone

(870) 850-6053

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jefferson Hospitalist Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kayhan Bangash, MD

  • Family Medicine Physician
  • Madera, CA
  • NPI 1285071894
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1235179581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 40TH AVE",
            "address_2": "ATTN: HOSPITALIST PROGRAM",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036301",
            "telephone_number": "870-850-6053",
            "fax_number": "870-850-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 40TH AVE",
            "address_2": "ATTN: HOSPITALIST PROGRAM",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036301",
            "telephone_number": "870-850-6053",
            "fax_number": "870-850-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HOSPITAL ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-850-6053"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171969102",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Hospitalist Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jefferson Hospital Association, Inc (Family Health Associates of Southeast Arkansas)
• Jefferson Hospital Association, Inc (Jefferson Regional Home Health Services)
• Jefferson Hospital Association, Inc (OBGYN Associates of South Arkansas)
• Jefferson Hospital Association, Inc (Jefferson Regional Healthworks)
• Jefferson Hospital Association, Inc
• Jefferson Hospital Association, Inc. (South Arkansas Orthopaedic Center)
• Jefferson Hospital Association, Inc. (Rhuematology Clinic)
• Jefferson Hospital Association, Inc.
• Jefferson Hospital Association, Inc. (Family Health Assoc of Southeast AR)
• Jefferson Regional Anesthesia LLC

• Internal Medicine Physician in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.