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PROFESSIONAL MEDICAL REVIEW, INC
NPI 1821148586
Specialist in Pine Bluff, AR

Active since January 12, 2007
316 W 6TH AVE, PINE BLUFF, AR 71601(870) 850-6053(870) 850-6482 Get Directions Write a Review

NPPES record last updated: April 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Professional Medical Review, Inc NPPES

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

PROFESSIONAL MEDICAL REVIEW, INC (NPI 1821148586) is a healthcare organization registered as a specialist in Pine Bluff, Arkansas and active in the NPI registry since January 2007. The organization lists George Vaiden Roberson, President, as its authorized official.

NPPES Registry Identity

NPI1821148586
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePINE BLUFF SURGICAL CLINIC, INC
Location Address316 W 6TH AVEPine Bluff, AR 71601-4217
Mailing Address316 W 6th AvePine Bluff, AR 71601-4217 · (870) 850-6053 · Fax (870) 850-6482
Phone(870) 850-6053
Fax(870) 850-6482
Organization SubpartNo
Authorized OfficialGeorge Vaiden RobersonPresident · (870) 850-6053
Enumeration DateJanuary 12, 2007
Last NPPES UpdateApril 29, 2009
✔ NPI 1821148586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · R1682
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
316 W 6TH AVE, Pine Bluff, AR 71601
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Other Names 1

Doing Business AsProfessional Medical Review, Inc

Other Identifiers 3

Medicare PIN56952AR
Medicaid103023002AR
Medicare PIN544306952AR

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DELTA DIAGNOSTIC & THERAPEUTIC RAD
Radiology (Diagnostic Radiology)
316 W 6TH AVE
PINE BLUFF, AR 71601
Jefferson County (870) 850-6053
LIVING HOPE MEDICAL SERVICES
Psychiatry & Neurology (Psychiatry)
316 W 6TH AVE
PINE BLUFF, AR 71601
Jefferson County (870) 850-6053

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 Pine Bluff Surgical Clinic, Inc's NPI number?

The NPI number for Pine Bluff Surgical Clinic, Inc is 1821148586. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider is doing business as Professional Medical Review, Inc.

Where is Pine Bluff Surgical Clinic, Inc located?

Pine Bluff Surgical Clinic, Inc is located at 316 W 6th Ave, Pine Bluff, AR 71601. The listed phone number is (870) 850-6053.

What is Pine Bluff Surgical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pine Bluff Surgical Clinic, Inc was last updated on April 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.