Robert Benjamin Noble, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-869 Issued in AR

Practice address

1600 W 40TH Ave
Pine Bluff, AR 71603-6301

Phone

(870) 541-7100

Fax

(870) 541-7204

NPI assigned

Sep 12, 2019

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

Medicare fee-for-service enrollment

Enrolled in AR, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Inpatient Solutions

  • Internal Medicine Physician
  • Benton, AR
  • NPI 1750927109
  Medicare reassignment
• Southeast Arkansas Emergency Physicians LLP

  • Emergency Medicine Physician
  • Pine Bluff, AR
  • NPI 1922475078
  Medicare reassignment
• Southeast Arkansas Hospitalists, LLP

  • Hospitalist Physician
  • Pine Bluff, AR
  • NPI 1912374018
  Medicare reassignment
• WH Services Arkansas, LLC

  • Emergency Medicine Physician
  • Forrest City, AR
  • NPI 1952135949
  Medicare reassignment
• Marlborough Hospitalist Group, PLLC

  • Hospitalist Physician
  • Marlborough, MA
  • NPI 1316639321
  Medicare reassignment

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1730739715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 40TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036301",
            "telephone_number": "870-541-7100",
            "fax_number": "870-541-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "ROBERT",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan N Newbolt, MD
• David Lee Nguyen, M.D.
• Scott Richard Nichols, M.D.
• Melissa M Nix, LMSW
• David T. Nixon, M.D.
• Susan Norton
• Farren Norwood, MHPP
• J. W Nuckolls, M.D.
• Shakespeare S Nunag, P,T,
• Nutrition Counseling & Consulting LLC

• Physician Assistant in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.

Verify at the official NPI Registry.