Active NPI
Jason E Gault, DO
- Surgery Physician
- Monticello, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E-19453
- Practice address
- 778 Scogin Dr Ste 140
Monticello, AR 71655-5729 - Phone
- (870) 460-3515
- Fax
- (870) 460-3529
- NPI assigned
- May 15, 2007
- Last updated
- Apr 9, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2010016117 | MO | |
| Surgery Physician | 208600000X | E-19453 | AR | Primary |
Addresses
Primary practice location
778 Scogin Dr Ste 140
Monticello, AR 71655-5729
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (870) 460-3515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
778 Scogin Dr
Suite 140
Monticello, AR 71655-5729
Phone (870) 460-3515
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 15 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Fitzgibbon Memorial Hospital Inc | Current | Accepting new patients | |
| John Fitzgibbon Memorial Hospital Inc | Current | Accepting new patients | |
| John Fitzgibbon Memorial Hospital, Inc. | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| John Fitzgibbon Memorial Hospital Inc. | Current | Accepting new patients | |
| Arkansas Health Group | Surgery | Current | Accepting new patients |
| Saint Luke's Hospital of Trenton | Past | Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995
9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970
778 Scogin Dr
#140
Monticello, AR 71655
778 Scogin Dr
Ste 140
Monticello, AR 71655
Phone (870) 460-3515
2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730
2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800
Interoperability endpoints
- jgault807791@direct.baptist-healthar.org
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Mid-Missouri Family Health at Fitzgibbon | Rural health clinic | Corporate Director | May 1, 2021 |
| Pilot Grove Medical Clinic at Fitzgibbon | Rural health clinic | Corporate Director | May 1, 2021 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Pilot Grove Medical Clinic at Fitzgibbon
- Rural Health Clinic/Center
- Pilot Grove, MO
- NPI 1073279873
Corporate Director
-
dba Mid Missouri Family Health at Fitzgibbon
- Rural Health Clinic/Center
- Marshall, MO
- NPI 1134752140
Corporate Director
-
dba Fitzgibbon Family Health
- Rural Health Clinic/Center
- Fayette, MO
- NPI 1316140494
Corporate Director
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Baptist Health - Vascular Surgery - Little Rock
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Little Rock, AR
- NPI 1598031882
-
dba Marshall Family Practice
- Clinic/Center
- Marshall, MO
- NPI 1093731986
-
dba Baptist Health Interventional Radiology Clinic
- Vascular & Interventional Radiology Physician
- Little Rock, AR
- NPI 1518644996
-
dba Baptist Health Surgical Clinic-Stuttgart
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
dba Fitzgibbon Wound Care
- Wound Care Registered Nurse
- Marshall, MO
- NPI 1073748786
-
dba Fitzgibbon Hospital
- General Acute Care Hospital
- Marshall, MO
- NPI 1730182478
-
dba Marshall Womens Center
- Clinic/Center
- Marshall, MO
- NPI 1437175320
-
dba Wright Memorial Hospital
- Emergency Medicine Physician
- Trenton, MO
- NPI 1851572234
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Medical Center - Drew County
- General Acute Care Hospital
- Monticello, AR
- NPI 1962283192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1861608192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "870-460-3515",
"fax_number": "870-460-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "778 SCOGIN DR STE 140",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716555729",
"telephone_number": "870-460-3515",
"fax_number": "870-460-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAULT",
"first_name": "JASON",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2010016117",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E-19453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.