Active NPI
Jed Alden Alcaide Isidro
- Certified Registered Nurse Anesthetist
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 216351
- Practice address
- 225 E Washington Ave
Jonesboro, AR 72401-3111 - Phone
- (870) 207-4100
- NPI assigned
- May 2, 2021
- Last updated
- Aug 13, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 216351 | AR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
225 E Washington Ave
Jonesboro, AR 72401-3111
Mailing address
504 Ellis LN
Jonesboro, AR 72401-8566
Phone (281) 948-4370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MO, NM, TN
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 N Division St
Blytheville, AR 72315-1448
225 E Washington Ave
St Bernards Med Ctr
Jonesboro, AR 72401-3119
Phone (870) 932-4211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonesboro Anesthesia Inc | Current | Accepting new patients | |
| Mississippi County Hospital System | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Johnson Regional Medical Center | Current | Accepting new patients | |
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mississippi County Hospital System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Johnson Regional Medical Center | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Ans Services of Arkansas PA | Current | Accepting new patients | |
| Capital Anesthesia Solutions of Missouri LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Otero County Hospital Association | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Netherlands Anesthesia, LLC | Current | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
1520 N Division St
Blytheville, AR 72315
Phone (870) 780-6832
1100 E Poplar St
Ste B
Clarksville, AR 72830
Phone (479) 754-5454
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201
2620 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-4111
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727
Organizations & group practices 16
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.
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1043228448
-
- Anesthesiology Physician
- Blytheville, AR
- NPI 1376844878
Nurse Anesthetist, Certified Registered
-
dba JRMC Anesthesia
- Anesthesiology Physician
- Clarksville, AR
- NPI 1396794525
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Anesthesiology Physician
- Rombauer, MO
- NPI 1770185472
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Las Vegas, NM
- NPI 1922603562
-
dba CHRISTUS Southern New Mexico
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
dba YPS Anesthesia Services
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
AR, Nurse Anesthetist, Certified Registered
-
dba BRMC Anesthesia
- Anesthesiology Physician
- Mountain Home, AR
- NPI 1114178753
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1699558387
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Great River Medical Center
- General Acute Care Hospital
- Blytheville, AR
- NPI 1316180748
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1265015812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 ELLIS LN",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724018566",
"telephone_number": "281-948-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E WASHINGTON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013111",
"telephone_number": "870-207-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISIDRO",
"first_name": "JED ALDEN",
"middle_name": "ALCAIDE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-02",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "216351",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.