Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Hospital Assn, Inc

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1982940433

Jefferson Hospital Assn, Inc is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Pine Bluff, Arkansas. Licensed in Arkansas. Registered with an NPI since 2013.

Licensed in
AR
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1609 W 40th Ave Ste 403
Pine Bluff, AR 71603-6319
Phone: (870) 541-0668
Fax: (870) 541-0083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence C6122 (AR)

Record details

NPI number1982940433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Johnson — Ceo · (870) 541-7269
Other names South Arkansas Cardiovascular Surgery Center
NPI enumeratedJanuary 2, 2013
Last updated in NPPESMarch 19, 2015
Mailing addressPo Box 2320, Pine Bluff, AR 71613-2320

Other providers in Pine Bluff