Jason A Baugh, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Pine Bluff, AR
NPI 1609871623 · NPPES record last updated Jun 24, 2008
Key facts
- NPI
- 1609871623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- C01479 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Renew Medical Group of Arkansas LTD
Practice addresses (Care Compare)
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000
Hospital & facility affiliations
- Mercy Hospital Fort Smith
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040520000967 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6103817929 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C01479 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Arkansas Anesthesiology Associates P.a. | Current |
Accepting new patients | |
| Renew Medical Group of Arkansas LTD | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| ASC Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Western Arkansas Obstetric Anesthesia LLC | Current |
Accepting new patients | |
| South Ark Ear Nose &Throat Clinic P a | Past | Accepting new patients |
Locations
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
14918 Cantrell Rd
Little Rock, AR 72223
Phone (501) 663-4747
4800 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-5533
151 E Aspen Ln
Russellville, AR 72802
Phone (479) 967-1117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C01479 | AR | Yes |
Addresses
Primary practice location
1801 W 40TH Ave
Ste 2B
Pine Bluff, AR 71603-6957
Mailing address
PO Box 1272
Pine Bluff, AR 71613-1272
Phone (870) 535-7457
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00102446 | Other | RRMCE/PGBA | |
| 152804701 | Medicaid | AR | |
| 5X766 | Other | AR | BCBS |
Other providers in Pine Bluff, AR
- Seyedeh Maryam Bashiri
- James Bass
- Lisa Bates
- Melissa Battles
- Baugh Eyecare Associates, PA
- Tom G Baxley
- Janet Bean
- Verniece Beavers
- Jacqueline Beckwith
- Tad L. Beene
All providers in Pine Bluff, AR · Certified Registered Nurse Anesthetist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.