Mr. Johnny Ross Paine
Family Doctor Family Doctor - Adult Medicine
710 A Dewitt-Henry Drive
Beebe
, Arkansas 72012
Mr. Johnny Ross Paine
Family Doctor Family Doctor - Adult Medicine
710 A Dewitt-Henry Drive
Beebe
, Arkansas 72012
(501) 279-1217
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About
Features
Specialties
- Family Doctor
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Mr. Johnny Ross Paine
- 710 A Dewitt-Henry Drive
- Beebe, AR
- Zip : 72012
- Fax : (501) 279-1217
- Phone : (972) 533-1767
Second Address
- Mr. Johnny Ross Paine
- 710 A Dewitt-Henry Drive
- Beebe, AR
- Zip : 72012
- Fax : (501) 279-1217
- Phone : (972) 533-1767
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FAQs
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What type of doctor is Mr. Johnny Ross Paine
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Is Mr. Johnny Ross Paine a sole practitioner?
Is Mr. Johnny Ross Paine accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | L4621 | TX |
| N | 207QA0505X | Family Doctor - Adult Medicine | 3902 | OK |
| Y | 207QA0505X | Family Doctor - Adult Medicine | R-3454 | AR |
National Provider Identifier
| NPI | 1295708428 |
|---|---|
| Provider Name | Mr. Johnny Ross Paine |
| First Address | Beebe, AR 72012 |
| Second Address | Beebe, AR 72012 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2006 |
| Last Update Date | 18/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 103756003 | (05) | AR |
| 1203902 | (05) | OK |
| 197838901 | (05) | TX |
| 197838902 | (05) | TX |
| D17031 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.