JEFFERSON SURGERY CENTER PLLC
NPI 1710934542
Clinic/Center - Ambulatory Surgical in Pine Bluff, AR

NPI Status: Active since May 27, 2006

Contact Information

1609 W 40TH AVE
JRMC PROFESSIONAL CENTER, SUITE 103
PINE BLUFF, AR
ZIP 71603
Phone: (870) 541-3636
Fax: (870) 541-3639

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance

About JEFFERSON SURGERY CENTER PLLC

This page provides the complete NPI Profile along with additional information for Jefferson Surgery Center Pllc, a provider established in Pine Bluff, Arkansas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1710934542 assigned on May 2006. The practitioner's primary taxonomy code is 261QA1903X with license number AR3637 (AR). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's former legal business name is Jha Ambulatory Surgery Center, Llc. The authorized official of this NPI record is Mrs. Crystal R Bohannan Cpa (Administrator)

NPI
1710934542
Provider Legal Name
JEFFERSON SURGERY CENTER PLLC
Other Organization Name
JHA AMBULATORY SURGERY CENTER, LLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1609 W 40TH AVE JRMC PROFESSIONAL CENTER, SUITE 103 PINE BLUFF, AR 71603
Location Phone
(870) 541-3636
Location Fax
(870) 541-3639
Mailing Address
1609 W 40TH AVE JRMC PROFESSIONAL CENTER, SUITE 103 PINE BLUFF, AR 71603
Mailing Phone
(870) 541-3636
Mailing Fax
(870) 541-3639
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2006
Last Update Date
08-26-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
AR3637
License State
AR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CRYSTAL R BOHANNAN CPA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(870) 541-3640

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
04C1038MEDICARE ID-TYPE UNSPECIFIED (04)AR 
135346128MEDICAID (05)AR 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710934542, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 1 + 8 + 3 + 8 + 5 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1710934542.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
1609 W 40TH AVE, SUITE 401
PINE BLUFF, AR 71603
Orthopaedic Surgery
1609 W 40TH AVE, STE 501
PINE BLUFF, AR 71603
Internal Medicine (Gastroenterology)
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Specialist
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Physician Assistant
1609 W 40TH AVE, SUITE 501
PINE BLUFF, AR 71603
Clinic/Center (Medical Specialty)
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Health Maintenance Organization
1609 W 40TH AVE, SUITE 207
PINE BLUFF, AR 71603
Specialist
1609 W 40TH AVE, SUITE 403
PINE BLUFF, AR 71603
Orthopaedic Surgery
1609 W 40TH AVE, SUITE 501
PINE BLUFF, AR 71603
Clinic/Center (Medical Specialty)
1609 W 40TH AVE, SUITE 204
PINE BLUFF, AR 71603
Orthopaedic Surgery
1609 W 40TH AVE, SUITE 501
PINE BLUFF, AR 71603
Preferred Provider Organization
1609 W 40TH AVE, SUITE 201
PINE BLUFF, AR 71603
Clinic/Center (Endoscopy)
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Surgery
1609 W 40TH AVE, SUITE 403
PINE BLUFF, AR 71603
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1609 W 40TH AVE, SUITE 403
PINE BLUFF, AR 71603
Orthopaedic Surgery
1609 W 40TH AVE, STE 501
PINE BLUFF, AR 71603
Specialist
1609 W 40TH AVE, SUITE 501
PINE BLUFF, AR 71603
Specialist
1609 W 40TH AVE, STE 403
PINE BLUFF, AR 71603
Urology
1609 W 40TH AVE, STE 301
PINE BLUFF, AR 71603
Urology
1609 W 40TH AVE, STE 301
PINE BLUFF, AR 71603

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710934542, enumerated as an "organization" on May 27, 2006.

The provider is located at 1609 W 40TH AVE JRMC PROFESSIONAL CENTER, SUITE 103 PINE BLUFF, AR 71603 and the phone number is (870) 541-3636.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.