Individual provider Active NPI

Jason S Paxton, MD

  • Emergency Medicine Physician
  • Batesville, AR
National Provider Identifier
1992768212
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E3408 Issued in AR
Practice address
1710 Harrison St
Batesville, AR 72501-7303
Phone
(501) 771-4693
NPI assigned
Apr 8, 2006
Last updated
Feb 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E3408 AR Primary

Addresses

Primary practice location

1710 Harrison St
Batesville, AR 72501-7303

Mailing address

PO Box 2093
Batesville, AR 72503-2093
Phone (501) 771-4693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040126000690 AR Practitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Family Practice 2567364813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Loma Linda University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Hospital Inc.Group PAC ID 0941105480, 187 clinicians
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

1201 Fleming Ave
Jonesboro, AR 72401-4311
Phone (870) 932-0440

225 E Washington Ave
Jonesboro, AR 72401-3111

310 S Falls Blvd S
St Bernards Medical Center
Wynne, AR 72396-3013
Phone (870) 208-2145

333 Red Wolf Blvd
Jonesboro, AR 72405-9739
Phone (870) 972-8181

4000 Linwood Dr
Paragould, AR 72450-7223
Phone (870) 240-8163

505 E Matthews
Suite 201
Jonestown, AR 72401-3144
Phone (870) 207-7250

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue412
Removal of skin lesions14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients
St Bernards Hospital Inc. CurrentSince Jan 4, 2016 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients
White River Health System, Inc. PastSince Aug 1, 2015 Accepting new patients

Locations

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 207-0405

415 E Matthews Ave
Jonesboro, AR 72401

111 S Main St
Leachville, AR 72438
Phone (870) 539-1115

1312 1st St
Ste B
Kennett, MO 63857
Phone (573) 559-2780

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cave City Medical ClinicCave City, AR, CCN 043982 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2013
Jan 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1992768212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2093",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725032093",
            "telephone_number": "501-771-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "501-771-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXTON",
        "first_name": "JASON",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E3408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.