Individual
JORDANA BETH PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10810 EXECUTIVE CENTER DR STE 100, LITTLE ROCK, AR 72211-4386
(501) 604-2695
(501) 604-2699
Mailing address
10810 EXECUTIVE CENTER DR STE 100, LITTLE ROCK, AR 72211-4386
(501) 604-2695
(501) 604-2699
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E-15311
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
J3988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348531002
—
TX
01
—
8FY631
BLUE CROSS BLUE SHIELD
TX
01
—
8GA442
BLUE CROSS BLUE SHIELD
TX
01
—
P01665507
RAILROAD MEDICARE
—
01
—
P01665538
RAILROAD MEDICARE
—
Enumeration date
10/23/2007
Last updated
08/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us