OrganizationActive
Jefferson Hospital Assn, Inc.
NPI 1962753574 · Surgery Physician · Pine Bluff, AR
Jefferson Hospital Assn, Inc. is a Surgery Physician organization in Pine Bluff, AR (NPI 1962753574).
Provider details
- NPI number
- 1962753574
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Debra Walker, Cbo Director Practice Management(870) 541-5981
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1609 W 40th Ave
Suite 403
Pine Bluff, AR 71603-6319
Phone: (870) 541-5981
Fax: (870) 541-8769
Street-level locationGet directions
Mailing address
Po Box 2320
Pine Bluff, AR 71613-2320
Other names (DBA / former)
- Doing business as
- Surgical Associates of Southeast Arkansas
Registry dates
- Enumerated
- 2012-09-21
- Last updated
- 2013-12-17
Frequently asked questions
- What is Jefferson Hospital Assn, Inc.'s NPI number?
- Jefferson Hospital Assn, Inc.'s National Provider Identifier (NPI) is 1962753574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson Hospital Assn, Inc.?
- Jefferson Hospital Assn, Inc. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jefferson Hospital Assn, Inc. located?
- Jefferson Hospital Assn, Inc.'s practice location on file with NPPES is 1609 W 40th Ave, Pine Bluff, AR 71603-6319.
- What is Jefferson Hospital Assn, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jefferson Hospital Assn, Inc. is (870) 541-5981.
- Who is the authorized official for Jefferson Hospital Assn, Inc.?
- The authorized official listed on Jefferson Hospital Assn, Inc.'s NPPES record is Debra Walker, Cbo Director Practice Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson Hospital Assn, Inc.'s NPI active?
- Yes — Jefferson Hospital Assn, Inc.'s NPI (1962753574) is active in the NPPES registry as of the last update on 2013-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.