Jefferson Surgery Center PLLC
NPI 1710934542 · Ambulatory Surgical Clinic/Center · Pine Bluff, AR
Jefferson Surgery Center PLLC is a Ambulatory Surgical Clinic/Center organization in Pine Bluff, AR (NPI 1710934542).
Provider details
- NPI number
- 1710934542
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Crystal Bohannan, Administrator(870) 541-3640
- License
- AR3637 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Jha Ambulatory Surgery Center, LLC
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2008-08-26
Frequently asked questions
- What is Jefferson Surgery Center PLLC's NPI number?
- Jefferson Surgery Center PLLC's National Provider Identifier (NPI) is 1710934542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson Surgery Center PLLC?
- Jefferson Surgery Center PLLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jefferson Surgery Center PLLC located?
- Jefferson Surgery Center PLLC's practice location on file with NPPES is 1609 W 40th Ave, Pine Bluff, AR 71603-6329.
- What is Jefferson Surgery Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Surgery Center PLLC is (870) 541-3636.
- Who is the authorized official for Jefferson Surgery Center PLLC?
- The authorized official listed on Jefferson Surgery Center PLLC's NPPES record is Crystal Bohannan, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson Surgery Center PLLC's NPI active?
- Yes — Jefferson Surgery Center PLLC's NPI (1710934542) is active in the NPPES registry as of the last update on 2008-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.