Jefferson Anesthesiology Associates
Jefferson Anesthesiology Associates is a healthcare organization registered as Anesthesiology Physician in Pine Bluff, AR, holding Type 2 (organization) NPI 1023005550 since 2005. The authorized official on file is Ferdinand Samuel, Administrator/Partner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023005550 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jefferson Anesthesiology Associates |
| Practice address | 1801 W 40TH AVE, SUITE 2B, Pine Bluff, AR, 71603 |
| Phone | 8705357457 |
| Enumeration date | 2005-09-30 |
| Last updated in NPPES | 2009-04-13 |
Authorized official
| Name | Ferdinand Samuel |
|---|---|
| Title | Administrator/Partner |
| Phone | 8705357457 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207L00000X | Anesthesiology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57360 | Other | AR | BCBS |
| CP0148 | Other | — | RRMCR/PGBA |
| 103014002 | Medicaid | AR | — |
Copy-ready billing details
Provider: Jefferson Anesthesiology Associates NPI: 1023005550 Taxonomy: 207L00000X (Anesthesiology Physician) Address: 1801 W 40TH AVE, SUITE 2B, Pine Bluff, AR, 71603
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679577662 | Anna Redman | Individual | Family Medicine Physician | Pine Bluff, AR |
| 1245234061 | Nancy Williams | Individual | Family Medicine Physician | Pine Bluff, AR |
| 1053316067 | Fawad Walajahi | Individual | Anesthesiology Physician | Pine Bluff, AR |
| 1497750418 | Jeffrey Bryles | Individual | Anesthesiology Physician | Pine Bluff, AR |
| 1407851439 | Lori Cole | Individual | Certified Registered Nurse Anesthetist | Pine Bluff, AR |
| 1306841358 | Jon Valentine | Individual | Certified Registered Nurse Anesthetist | Pine Bluff, AR |
| 1356346316 | Walter Theriot | Individual | Certified Registered Nurse Anesthetist | Pine Bluff, AR |
| 1174528186 | Ferdinand Samuel | Individual | Anesthesiology Physician | Pine Bluff, AR |
Verify this record
Cross-check NPI 1023005550 against the authoritative CMS record: view Jefferson Anesthesiology Associates on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Jefferson Anesthesiology Associates?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-04-13.