J. W NUCKOLLS MD
NPI 1750345575
Clinic/Center in Pine Bluff, AR
NPI Status: Active since April 17, 2006
Contact Information
1801 W 40TH AVE
SUITE 1C
PINE BLUFF, AR
ZIP 71603
Phone: (870) 541-0222
Fax: (870) 541-0315
- Organization
- Clinic/Center
About J. W NUCKOLLS MD
This page provides the complete NPI Profile along with additional information for J. W Nuckolls Md, a provider established in Pine Bluff, Arkansas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1750345575 assigned on April 2006. The practitioner's primary taxonomy code is 261Q00000X with license number R2177 (AR). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. J. W Nuckolls M.d. (Owner)
- NPI
- 1750345575
- Provider Name
- J. W NUCKOLLS MD
- Entity Type
- Organization
- Location Address
- 1801 W 40TH AVE SUITE 1C PINE BLUFF, AR 71603
- Location Phone
- (870) 541-0222
- Location Fax
- (870) 541-0315
- Mailing Address
- 1801 WEST 40TH SUITE 1-C PINE BLUFF, AR 71603
- Mailing Phone
- (870) 541-0222
- Mailing Fax
- (870) 541-0315
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-17-2006
- Last Update Date
- 10-26-2007
- Code Navigator
Location Map
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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- R2177
- License State
- AR
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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.
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 |
|---|---|---|---|
| E05073 | MEDICARE UPIN (02) | AR | |
| 53847 | MEDICARE ID-TYPE UNSPECIFIED (04) | AR |
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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. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 4 | 5 | 5 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 4 | 10 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 4 + 1 + 0 + 5 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1750345575 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1053316067 | FAWAD H WALAJAHI M.D. Individual | Anesthesiology | 1801 W 40TH AVE STE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1497750418 | JEFFREY S BRYLES M.D. Individual | Anesthesiology | 1801 W 40TH AVE STE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1306841358 | JON C VALENTINE CRNA Individual | Nurse Anesthetist, Certified Registered | 1801 W 40TH AVE STE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1356346316 | WALTER P THERIOT CRNA Individual | Nurse Anesthetist, Certified Registered | 1801 W 40TH AVE STE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1174528186 | FERDINAND K SAMUEL M.D. Individual | Anesthesiology | 1801 W 40TH AVE STE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1023013000 | GARY W MANLY CRNA Individual | Nurse Anesthetist, Certified Registered | 1801 W 40TH AVE STE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1740285709 | JEWELL D VOCQUE CRNA Individual | Nurse Anesthetist, Certified Registered | 1801 W 40TH AVE STE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1366447252 | JAMES C RASSIER CRNA Individual | Nurse Anesthetist, Certified Registered | 1801 W 40TH AVE STE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1609871623 | JASON A BAUGH CRNA Individual | Nurse Anesthetist, Certified Registered | 1801 W 40TH AVE STE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1578568507 | SCOTTY L REDDIN CRNA Individual | Nurse Anesthetist, Certified Registered | 1801 W 40TH AVE STE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1144212341 | PINE BLUFF RADIOLOGISTS, LTD Organization | Specialist | 1801 W 40TH AVE SUITE 2C PINE BLUFF, AR 71603 (870) 534-8651 |
| 1023005550 | JEFFERSON ANESTHESIOLOGY ASSOCIATES Organization | Anesthesiology | 1801 W 40TH AVE SUITE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1982692760 | DANIEL E ANSLEY CRNA Individual | Nurse Anesthetist, Certified Registered | 1801 W 40TH AVE SUITE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1275512642 | JACQUELYN SUE FRIGON MD PA Individual | Specialist | 1801 W 40TH AVE SUITE 5B PINE BLUFF, AR 71603 (870) 535-4800 |
| 1962465948 | JOHNNY F CLENDENIN JR. CRNA Individual | Nurse Anesthetist, Certified Registered | 1801 W 40TH AVE SUITE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1831130616 | FAMILY MEDICINE ASSOCIATES OF PINE Organization | Clinic/Center (Primary Care) | 1801 W 40TH AVE SUITE 6A PINE BLUFF, AR 71603 (870) 541-9373 |
| 1174565139 | MR. WILLIAM N LIM M.D. Individual | Radiology (Diagnostic Radiology) | 1801 W 40TH AVE SUITE 2C PINE BLUFF, AR 71603 (870) 534-8651 |
| 1477595387 | CHARLES J STEARNS MD Individual | Anesthesiology | 1801 W 40TH AVE SUITE 2B PINE BLUFF, AR 71603 (870) 535-7457 |
| 1982647376 | MR. RODOLFO E LIM M.D. Individual | Radiology (Diagnostic Radiology) | 1801 W 40TH AVE SUITE 2C PINE BLUFF, AR 71603 (870) 534-8651 |
| 1154364545 | DR. JAMES L WORKMAN M.D. Individual | Radiology (Diagnostic Radiology) | 1801 W 40TH AVE SUITE 2C PINE BLUFF, AR 71603 (870) 534-8651 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750345575, enumerated in the NPI registry as an "organization" on April 17, 2006
The provider is located at 1801 W 40th Ave Suite 1c Pine Bluff, Ar 71603 and the phone number is (870) 541-0222
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
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 April 17, 2006. 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.