Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881873826 Individual Practitioner Male Practitioner

Dr. J. W Nuckolls , MD

Specialist • Pine Bluff, AR

Professional Overview & Biography Verified Profile Summary

Dr. J. Nuckolls, MD is a registered healthcare professional specializing in Specialist in Pine Bluff, AR. Practice services are available at 1801 W 40TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1801 W 40th Ave

Pine Bluff, AR 716036940

Telephone 8705410222
Fax 8705410315
Associated Practice Facility / Clinic
🏢 Pine Bluff Radiologists, Ltd Facility NPI 1144212341

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Pine Bluff, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 48.6 Yrs
State Avg: 33.9 Yrs
Regional Practice Density
16 Specialists

Practicing in Pine Bluff, AR (544 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AR R2177

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Gary Manly , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023013000

Certified Registered Nurse Anesthetist

NPI 1053316067

Doctor of Medicine (M.D.)

Jonathan Loetscher , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073712782

Certified Registered Nurse Anesthetist

Dr. James Workman , MD

Radiology - Diagnostic Radiology

NPI 1154364545

Doctor of Medicine (M.D.)

NPI 1174528186

Doctor of Medicine (M.D.)

Dr. William Lim , MD

Radiology - Diagnostic Radiology

NPI 1174565139

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 26, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2007

Registered at 1801 W 40TH AVE, PINE BLUFF, AR 716036940 (Tel: 8705410222)

📍
Updated Business Mailing Address October 26, 2007

Registered at 1801 W 40TH AVE, PINE BLUFF, AR 716036940 (Tel: 8705410222)

👤
Provider Name / Credentials Updated October 26, 2007

Recorded as J. NUCKOLLS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2007

Specialist (License #R2177 in AR)

🟢
Initial NPI Registration & Enumeration October 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881873826
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2007
Last Update: October 26, 2007
Sole Proprietor: Yes

Mailing Address

1801 W 40th Ave

Pine Bluff, AR 716036940

Phone: 8705410222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.