Active NPI
Nauman Yunus MD PA
- Internal Medicine Physician
- Pine Bluff, AR
National Provider Identifier
1821544628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E0891
- Legal business name
- NAUMAN YUNUS MD PA
- Practice address
- 1600 West 40TH Ave
Jefferson Regional Medical Center
Pine Bluff, AR 71603 - Phone
- (870) 541-7650
- NPI assigned
- Aug 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nauman Yunus, M.D.
- Title
- Director
- Phone
- (870) 692-6627
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E0891 | AR | Primary |
Addresses
Primary practice location
1600 West 40TH Ave
Jefferson Regional Medical Center
Pine Bluff, AR 71603
Mailing address
PO Box 1572
Pine Bluff, AR 71613-1572
Phone (870) 692-6627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130203001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1600 W 40th Ave
Ofc
Pine Bluff, AR 71603
Phone (870) 692-6627
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Pine Bluff, AR
- NPI 1487601712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472601600000",
"number": "1821544628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1572",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716131572",
"telephone_number": "870-692-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 WEST 40TH AVE",
"address_2": "JEFFERSON REGIONAL MEDICAL CENTER",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "71603",
"telephone_number": "870-541-7650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAUMAN YUNUS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A",
"authorized_official_last_name": "YUNUS",
"authorized_official_first_name": "NAUMAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "870-692-6627",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AR",
"license": "E0891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130203001",
"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 Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.