Thomas T Jefferson
Medical Specialty
Professional ID
- NPI: 1790891448
- PECOS ID: 1658408497
- Enrollment ID: I20100427000427
- Credential(MD, DO, DPM):
- Medical School: University Of Arkansas College Of Medicine
- Medical School Graduation Year: 1972
Hospital Service
- Hospital CCN1: 040007
- Business Name (LBN)1: Chi-st Vincent Infirmary
Location
- Address1: 1100 N University Ave
- Address2: Suite 260
- City: Little Rock
- State: Arkansas
- Zip Code: 72207
- Phone Number: (501)603-0003
Medical Practices
- Organization Name: Arcare
- Group Practice ID assigned by PECOS: 2567370620
- Number of Group Practice member: 65
Location
- Address1: 11219 Financial Centre Pkwy
- Address2: Suite 200
- City: Little Rock
- State: Arkansas
- Zip Code: 72211
- Phone Number: (501)455-2712
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):