Active NPI
Michele Ann Pashkevich, MD
- Family Medicine Physician
- Pine Bluff, AR
National Provider Identifier
1659319879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C7202
- Practice address
- 1708 W 42ND
Pine Bluff, AR 71603 - Phone
- (870) 536-7300
- Fax
- (870) 535-7858
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C7202 | AR | Primary |
Addresses
Primary practice location
1708 W 42ND
Pine Bluff, AR 71603
Mailing address
1708 W 42ND
Pine Bluff, AR 71603
Phone (870) 536-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113183001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7202 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Hospital Association Inc | Current | Accepting new patients | |
| Michele a Pashkevich MD PA | Family Medicine | Current | Accepting new patients |
| Southeast Arkansas Emergency Physicians LLP | Current | Accepting new patients | |
| Jefferson Hospital Association, Inc | Family Medicine | Current | Accepting new patients |
| Southeast Arkansas Emergency Physicians LLP | Current | Accepting new patients |
Locations
1708 W 42nd Ave
Pine Bluff, AR 71603
Phone (870) 536-7300
1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Pine Bluff, AR
- NPI 1710931985
-
- Emergency Medicine Physician
- Pine Bluff, AR
- NPI 1922475078
-
- Family Medicine Physician
- Pine Bluff, AR
- NPI 1306156476
-
- Rural Health Clinic/Center
- Crossett, AR
- NPI 1225799646
Family Medicine
-
- Emergency Medicine Physician
- Pine Bluff, AR
- NPI 1467817411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1659319879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 W 42ND",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "71603",
"telephone_number": "870-536-7300",
"fax_number": "870-535-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 W 42ND",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "71603",
"telephone_number": "870-536-7300",
"fax_number": "870-535-7858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASHKEVICH",
"first_name": "MICHELE",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C7202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113183001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.