Active NPI
Don Birch Vollman Jr., M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Jonesboro, AR
National Provider Identifier
1851339972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- C2893
- Practice address
- 411 E Matthews Ave
Jonesboro, AR 72401-3142 - Phone
- (870) 930-3518
- Fax
- (870) 930-3569
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C2893 | AR | Primary |
Addresses
Primary practice location
411 E Matthews Ave
Jonesboro, AR 72401-3142
Mailing address
PO Box 1326
Jonesboro, AR 72403-1326
Phone (870) 930-3518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55426 | Other | AR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2893 | AR | MD | Anatomic Pathology & Clinical Pathology Physician |
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": "1183852800000",
"number": "1851339972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1326",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724031326",
"telephone_number": "870-930-3518",
"fax_number": "870-930-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E MATTHEWS AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013142",
"telephone_number": "870-930-3518",
"fax_number": "870-930-3569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLLMAN",
"first_name": "DON",
"middle_name": "BIRCH",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AR",
"license": "C2893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "55426",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.