Jon C Valentine, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C01118 Issued in AR

Practice address

1801 W 40TH Ave
Ste 2B
Pine Bluff, AR 71603-6957

Phone

(870) 535-7457

Fax

(870) 535-2522

NPI assigned

Jun 16, 2005

Last updated

Jul 28, 2008By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McFarland Anesthesia LLCGroup PAC ID 1557708153, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• McFarland Anesthesia LLC

  • Anesthesiology Physician
  • Pine Bluff, AR
  • NPI 1689378325
  Medicare reassignment Care Compare group NPD
• Battle Street Surgery Center, LLC

  dba Surgery Center at the Valley

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1457077174
  Medicare reassignment NPD
• Physician's Day Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1588603351
  Medicare reassignment NPD
• Physicians Day Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Pine Bluff, AR
  • NPI 1023057916
  Medicare reassignment NPD
• Physicians Day Surgery Center

  dba PDSC Anesthesia

  • Anesthesiology Physician
  • Pine Bluff, AR
  • NPI 1538538905
  NPD

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1306841358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716131272",
            "telephone_number": "870-535-7457",
            "fax_number": "870-535-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "STE 2B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036957",
            "telephone_number": "870-535-7457",
            "fax_number": "870-535-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "JON",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5T930",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346147001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR/PGBA",
            "identifier": "430042624",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Arkansas Medical Sciences, Ahec Pine Bluff
• Ryan Arvin Vegafria Urbano, RPT
• Urology Associates of South Arkansas
• Chizoba Usuwa, MD
• V. Bryan Perry MD PA
• Shanda Vinson, APRN
• Jewell D Vocque, CRNA
• W. Brent Hall, O.D. P.a.
• W.Jim Moore, Jr. D.D.S.,LTD.
• Bernadine Waddell, RN

• Certified Registered Nurse Anesthetist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.

Verify at the official NPI Registry.