GPN JACKSONVILLE LLC
NPI 1376812487
Emergency Medicine in Jacksonville, AR

NPI Status: Active since December 19, 2011

Contact Information

1400 BRADEN ST
ER DEPT
JACKSONVILLE, AR
ZIP 72076
Phone: (501) 985-7315

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  • Organization
  • Emergency Medicine

About GPN JACKSONVILLE LLC

This page provides the complete NPI Profile along with additional information for Gpn Jacksonville Llc, a provider established in Jacksonville, Arkansas operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1376812487 assigned on December 2011. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Gpn Jacksonville Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Samuel D Huckabee (Ceo)

NPI
1376812487
Provider Name
GPN JACKSONVILLE LLC
Entity Type
Organization
Location Address
1400 BRADEN ST ER DEPT JACKSONVILLE, AR 72076
Location Phone
(501) 985-7315
Mailing Address
PO BOX 3925 SHREVEPORT, LA 71133
Mailing Phone
(800) 684-0052
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2011
Last Update Date
08-27-2012
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

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

SAMUEL D HUCKABEE

Authorized Official Title
CEO
Authorized Official Phone
(318) 629-5349

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
5GA32MEDICARE PIN (08)AR 
191242002MEDICAID (05)AR 
DS4118OTHER (01)RAILROAD MCARE
616847700OTHER (01)DEPT OF LABOR

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376812487
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231461614416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 6 + 1 + 4 + 4 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1376812487 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1174509673PULASKI EMERGENCY GROUP LLC
Organization
Emergency Medicine1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 985-7000
1205899481DR. TIMOTHY A DILLER M.D.
Individual
Surgery1400 BRADEN ST EMERGENCY DEPT
JACKSONVILLE, AR 72076
(501) 985-7000
1023072105DR. GEORGE THOMPSON GRAY III D.O.
Individual
Family Medicine1400 BRADEN ST EMERGENCY DEPT
JACKSONVILLE, AR 72076
(501) 985-7000
1386697480DR. BRIAN E MEYER MD
Individual
Emergency Medicine1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 221-3519
1417995457 MUHAMMAD YOUNUS SHAJAAT MD
Individual
Internal Medicine1400 BRADEN ST
JACKSONVILLE, AR 72076
(800) 893-9698
1992808851 MARK M HEMEYER M.D.
Individual
Family Medicine1400 BRADEN ST EMERGENCY DEPT
JACKSONVILLE, AR 72076
(501) 985-7000
1548357858REBSAMEN MEDICAL CENTER, INC.
Organization
Skilled Nursing Facility1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 985-7000
1972671907REBSAMEN ANESTHESIA INC
Organization
Anesthesiology1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 985-7000
1487870283 TAMMY M COPELAND CRNA
Individual
Nurse Anesthetist, Certified Registered1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 985-7000
1134367022 RITA MARGARET ODOM NP
Individual
Nurse Practitioner (Acute Care)1400 BRADEN ST
JACKSONVILLE, AR 72076
(800) 893-9698
1093044166JACKSONVILLE EMERGENCY MEDICINE LLC
Organization
Emergency Medicine1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 985-7000
1972709418DR. NASIR ZAREEN M.D.
Individual
Emergency Medicine1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 985-7000
1487863619ALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK, LLC
Organization
General Acute Care Hospital1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 985-7000
1568715910CHG CORNERSTONE HOSPITAL OF LITTLE ROCK, LLC
Organization
Long Term Care Hospital1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 985-7026
1154736262 MONTE DOUGLAS PA-C
Individual
Physician Assistant1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 241-1676
1902862956 SUNITA SUDHAKAR BONDE DO
Individual
Emergency Medicine1400 BRADEN ST ER DEPT
JACKSONVILLE, AR 72076
(501) 985-7000
1215047121REBSAMEN MEDICAL CENTER, INC.
Organization
Rehabilitation Unit1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 985-7000
1689130338FREEDOM BEHAVIORAL HOSPITAL OF CENTRAL ARKANSAS LLC
Organization
Psychiatric Hospital1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 985-7084
1164556460 JABBAR JOSHUA
Individual
Family Medicine1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 985-7000
1598358616 AARON M. WOODALL PA-C
Individual
Physician Assistant1400 BRADEN ST
JACKSONVILLE, AR 72076
(501) 241-1676

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376812487, enumerated in the NPI registry as an "organization" on December 19, 2011

The provider is located at 1400 Braden St Er Dept Jacksonville, Ar 72076 and the phone number is (501) 985-7315

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 19, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.