Jack Havdala
Medical Specialty
Professional ID
- NPI: 1477558955
- PECOS ID: 3476543372
- Enrollment ID: I20040513000729
- Credential(MD, DO, DPM): MD
- Medical School: University Of Health Scienceschicago Medical School
- Medical School Graduation Year: 1990
Hospital Service
- Hospital CCN1: 040020
- Business Name (LBN)1: St Bernards Medical Center
- Hospital CCN2: 041309
- Business Name (LBN)2: Lawrence Memorial Hospital
- Hospital CCN3: 040039
- Business Name (LBN)3: Arkansas Methodist Medical Center
- Hospital CCN4: 041307
- Business Name (LBN)4: Crossridge Community Hospital
- Hospital CCN5: 041330
- Business Name (LBN)5: Piggott Community Hospital
Medical Practices
- Organization Name: Cardiology Associates Of Jonesboro, Inc
- Group Practice ID assigned by PECOS: 8224218425
- Number of Group Practice member: 25
Location
- Address1: 201 E Oak Ave
- Address2:
- City: Jonesboro
- State: Arkansas
- Zip Code: 72401
- Phone Number: (870)935-6729
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes