Jason E Gault, DO
Individual provider Active NPI Surgery Physician · Monticello, AR
NPI 1861608192 · NPPES record last updated Apr 9, 2026
Key facts
- NPI
- 1861608192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- E-19453 (AR)
- Practice address
- 778 Scogin Dr Ste 140
Monticello, AR 71655-5729 - Phone
- (870) 460-3515
- Fax
- (870) 460-3529
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- 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
- Arkansas Health Group
Practice addresses (Care Compare)
778 Scogin Dr
Suite 140
Monticello, AR 71655-5729
Phone (870) 460-3515
Hospital & facility affiliations
- Baptist Health Medical Center-Drew County
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100916001035 | MO | Practitioner - General Surgery | 0840315636 | Reassigns benefits to 1 organization |
| I20250616002789 | AR | Practitioner - General Surgery | 0840315636 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 | |
| Arkansas Health Group | 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 | Surgery | Current |
Accepting new patients |
| Arkansas Health Group | 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
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970
9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2010016117 | MO | |
| Surgery Physician | 208600000X | E-19453 | AR | Yes |
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
Other providers in Monticello, AR
- Keuna Gaines
- Hailey Desiree Gammel
- April Gardner
- Kierra Gardner
- Trace Nathaniel Garner
- Ggnsc Monticello LLC
- Shelby Elaine Gibson
- Whitney Gifford
- April Brandy Glasscock
- Kellie Gober
All providers in Monticello, AR · Surgery Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.