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JEFFERSON PULM CC PA
NPI 1396954228
Internal Medicine - Pulmonary Disease in Monticello, AR

Active since May 21, 2007
606 ROBERTS DRIVE, MONTICELLO, AR 71655(870) 850-6053 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jefferson Pulm Cc Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON PULM CC PA (NPI 1396954228) is a healthcare organization registered as a pulmonary disease in Monticello, Arkansas and active in the NPI registry since May 2007. The organization lists Tanya M Simpson, President, as its authorized official.

NPPES Registry Identity

NPI1396954228
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameJEFFERSON PULM CC PA
Location Address606 ROBERTS DRIVEMonticello, AR 71655
Mailing AddressPo Box 7824Pine Bluff, AR 71611-7824 · (870) 850-6053 · Fax (870) 850-6482
Phone(870) 850-6053
Organization SubpartNo
Authorized OfficialTanya M SimpsonPresident · (870) 850-6053
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396954228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in AR · E2334
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
606 ROBERTS DRIVE, Monticello, AR 71655
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Pulm Cc PA's NPI number?

The NPI number for Jefferson Pulm Cc PA is 1396954228. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Jefferson Pulm Cc PA located?

Jefferson Pulm Cc PA is located at 606 Roberts Drive, Monticello, AR 71655. The listed phone number is (870) 850-6053.

What is Jefferson Pulm Cc PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Jefferson Pulm Cc PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.