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Northeast Arkansas Pain Medicine

Interventional Pain Medicine Physician in Jonesboro, AR · enumerated 2008 · authorized official Monica Formon, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235300765

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Arkansas Pain Medicine
Practice address 505 E Matthews Ave, Suite 103, Jonesboro, AR, 72401
Phone (870) 972-0411
Fax (870) 933-8011
Enumeration date Mar 12, 2008
Last updated in NPPES Dec 15, 2009

Taxonomy & classification

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License E1479 (AR) Primary

Authorized official

Name Monica Formon
Title Office Manager
Phone (870) 972-0411

Other identifiers

Identifier Type State Issuer
143853002 Medicaid AR -
5K398 Other AR BLUE CROSS

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.

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Frequently asked questions

Who is the authorized official for Northeast Arkansas Pain Medicine?
NPPES lists Monica Formon (Office Manager) as the authorized official for this organization.
What is the NPI number for Northeast Arkansas Pain Medicine?
The NPI for Northeast Arkansas Pain Medicine is 1235300765, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-15.