NPIMap

Organization Active NPI

Northeast Arkansas Clinic Charitable Foundation, Inc.

Doing business as NEA Baptist Clinic Anesthesia

  • Anesthesiology Physician
  • Jonesboro, AR
National Provider Identifier
1992036032
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.
Doing business as
NEA Baptist Clinic Anesthesia
Practice address
4800 E Johnson Ave
Jonesboro, AR 72401-8413
Phone
(501) 227-0700
Fax
(501) 227-0744
NPI assigned
Jan 28, 2010
Last updated
Sep 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregory M Duckett
Title
Sr VP/ Clo
Phone
(901) 227-5233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

4800 E Johnson Ave
Jonesboro, AR 72401-8413

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177

Other names 1

  • NEA Baptist Clinic Anesthesia Doing business as

National Provider Directory

National Provider Directory
Part of
Baptist Memorial Health Care Corp

Locations

3001 Apache Dr
Ste B
Jonesboro, AR 72401

3005 Middlefield Dr
Jonesboro, AR 72401
Phone (870) 934-5705

4808 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 936-7000

4901 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 932-8222

616 W Keiser Ave
Osceola, AR 72370
Phone (870) 563-5888

601 W Maple Ave
Ste 503
Springdale, AR 72764
Phone (479) 751-3722

Practitioners & affiliated clinicians

Practitioners 252

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 252

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1992036032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 E JOHNSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018413",
            "telephone_number": "501-227-0700",
            "fax_number": "501-227-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
        "enumeration_date": "2010-01-28",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP/ CLO",
        "authorized_official_telephone_number": "901-227-5233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEA Baptist Clinic Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEA Baptist Clinic Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.