Provider Demographics
NPI:1437154036
Name:TAUTH, JEFFREY GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:GEORGE
Last Name:TAUTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:110 CRACKER BOX LN
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-5418
Mailing Address - Country:US
Mailing Address - Phone:501-767-4278
Mailing Address - Fax:501-767-4328
Practice Address - Street 1:110 CRACKER BOX LN
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS NATIONAL PARK
Practice Address - State:AR
Practice Address - Zip Code:71913-5418
Practice Address - Country:US
Practice Address - Phone:017-674-2785
Practice Address - Fax:501-767-4328
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-7979207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR060063611OtherRAILROAD MEDICARE
AR5L652OtherBCBS OF AR
AR142624001Medicaid
AR1C0708OtherMEDICARE PTAN
AR142624001Medicaid