MR. JOHNNY ROSS PAINE (NPI# 1295708428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295708428 |
| Entity Type | Individual |
| Full Name | MR. JOHNNY ROSS PAINE |
| Credential | D.O |
| Practice Address |
710 A Dewitt-henry Drive Beebe AR 72012 |
| Practice Telephone | 9725331767 |
| Practice Fax Number | 5012791217 |
| Mailing Telephone | 9725331767 |
| Mailing Fax Number | 5012791217 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2016-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | L4621 | TX | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
R-3454 | AR | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
3902 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 197838901 | 05 | |
| OK | 1203902 | 05 | |
| TX | 197838902 | 05 | |
| AR | 103756003 | 05 |
| Street Address |
710 A DEWITT-HENRY DRIVE |
| City | BEEBE |
| State | AR |
| Zip Code | 72012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881234722 | Danielle Shock | Speech-Language Pathologist | Wilbur Mills Coop, 114 N Main, Beebe, AR 72012 | 2020-01-08 |
| 1356982946 | Rachel Lynn Martin | Technician | 120 Friendship Ln, Beebe, AR 72012 | 2019-10-04 |
| 1992758387 | Charles Edward Pillow | Physician Assistant | 710-a Dewitt Henry Drive, Beebe, AR 72012 | 2006-05-18 |
| 1710935762 | Dewey Mcafee | Family Medicine | 710 A Dewitt Henry Drive, Beebe, AR 72012 | 2006-05-04 |
| 1710973086 | Beebe Retirement Center, Inc. | Skilled Nursing Facility | 709 Mcafee Dr, Beebe, AR 72012 | 2005-09-22 |
| 1477051654 | Life Within Counseling Group, LLC | Counselor | 905 Mcafee Medical Circle, Beebe, AR 72012 | 2018-01-23 |
| 1588109698 | Riley Benjumen Pate | Counselor | 905 Mcafee Medical Circle, Beebe, AR 72012 | 2016-12-28 |
| 1205185204 | Lauren Ashley Farris | Occupational Therapist | 27 Hwy 64 W, Beebe, AR 72012 | 2012-09-05 |
| 1831121037 | Dewey R Mcafee Do Pa | Family Medicine | 710-a Dewitt Henry Drive, Beebe, AR 72012 | 2006-07-07 |
| 1730722463 | Beebe Family Pharmacy, LLC | Pharmacy | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-10-25 |
| Find all providers in zip 72012 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042893 | Kidneysue, LLC | Family Medicine | 216 Summit Ridge Pl, Hot Springs, AR 71901-8671 | 2020-01-21 |
| 1619470275 | Haley Walters | Family Medicine | 210 S Thompson St Ste 5, Springdale, AR 72764-4261 | 2018-03-09 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1730532003 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 120 Adcock Road, Suite D, Hot Springs, AR 71913-7958 | 2016-07-21 |
| 1649556150 | Joseph Edward Hughes | Family Medicine | 1009 Rossland Dr, Jonesboro, AR 72404-8471 | 2011-10-28 |
| 1104105972 | Shipley & Sills Family Practice, Pllc | Family Medicine | 4003 Massard Rd., Fort Smith, AR 72903 | 2011-08-11 |
| 1649417361 | Gerald Lawrence Guyer | Family Medicine | 2915 Ashley Dr, Conway, AR 72034-7336 | 2009-01-16 |
| 1578759965 | Timothy Ewing Bainum | Family Medicine | 2673 Highway 70 E, Glenwood, AR 71943-8750 | 2007-09-19 |
| 1356563241 | Gil Johnson | Family Medicine | 2511 A College Ave, Conway, AR 72034-6135 | 2007-05-02 |
| 1821172651 | Romana Rayaz | Family Medicine | 4300 W 7th St # West, Little Rock, AR 72205-5446 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.