Johnny Ross Paine in Beebe - Adult Medicine
Johnny Ross Paine - NPI 1295708428
Johnny Ross Paine is a Adult Medicine in Beebe, Arkansas. Johnny Ross Paine practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Johnny Ross Paine is 1295708428. The last update date is 2016-05-18.
Johnny Ross Paine's current location address is 710 A Dewitt-henry Drive, Beebe, Arkansas. You can contact this provider via phone number 9725331767 and fax number 5012791217. The mailing address for Johnny Ross Paine is 710 A Dewitt-henry Drive, Beebe, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny Ross Paine |
|---|---|
| Address | 710 A Dewitt-henry Drive, Beebe, Arkansas |
| Phone Number | 9725331767 |
| Fax Number | 5012791217 |
| Sole Proprietor | Y |
| Credentials | D.O |
NPI Number Detail
| NPI Number | 1295708428 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2016-05-18 |
Provider Mailing Address Detail
| Address | 710 A Dewitt-henry Drive |
|---|---|
| City | Beebe |
| State | Arkansas (AR) |
| Post Code | 72012 |
| Phone Number | 9725331767 |
| Fax Number | 5012791217 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 3902 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103756003 | AR | -- | |
| 197838901 | TX | -- | |
| 1203902 | OK | -- | |
| 197838902 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Johnny Ross Paine by the Centers for Medicare & Medicaid Services?
The Johnny Ross Paine has been issued the NPI (National Provider Identifier) 1295708428, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Johnny Ross Paine's physical address?
The Johnny Ross Paine is physically located at 710 A Dewitt-Henry Drive, in the city of Beebe, AR, with the postal code 72012.
What is Johnny Ross Paine's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Johnny Ross Paine's specialized field of practice is Adult Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0505X.
On what date did the Johnny Ross Paine receive its 1295708428 assignment from the Centers for Medicare & Medicaid Services?
The Johnny Ross Paine was assigned its 1295708428 by the Centers for Medicare & Medicaid Services on 2006-02-08.
As of what date were the details pertaining to Johnny Ross Paine last refreshed?
The information related to the Johnny Ross Paine, including its address, specialty, and other relevant details, was last updated on 2016-05-18.
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