Jacquelyn Sue Frigon MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

R2808 Issued in AR

Practice address

1801 W 40TH Ave
Suite 5B
Pine Bluff, AR 71603-6900

Phone

(870) 535-4800

Fax

(870) 535-4804

NPI assigned

Jan 12, 2006

Last updated

Aug 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Specialty

Neurology

Education

University of Arkansas College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacquelynfrigon@jrmc.allscriptsdirect.net

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.

• Jacquelyn S. Frigon, M.D., P.a.

  • Physical Medicine & Rehabilitation Physician
  • Pine Bluff, AR
  • NPI 1164530226
  Medicare reassignment NPD

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

• Jefferson Hospital Association Inc

  dba Jefferson Regional Medical Center

  • General Acute Care Hospital
  • Pine Bluff, AR
  • NPI 1710931985
  Care Compare affiliation

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1275512642",
    "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": "716036900",
            "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": "716036900",
            "telephone_number": "870-535-4800",
            "fax_number": "870-535-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIGON MD PA",
        "first_name": "JACQUELYN SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "R2808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103056001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricki Yvonne Fram, M.D.
• Allison Faye Francis, RD, LD
• Sade Anita Francois, MD
• Philip Jay Mendez Frayre, MD
• Shandra Freeman, BS
• Ft McDonald DDS LTD
• Dawn Fuller
• Tia Fulton, PHARMD
• Madeline Noel Fults, CIT
• Functional Testing Centers, Inc.

• Specialist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.