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Contact Information

JOHNNY R PAINE, D.O
15 SILVER OAK DR
SEARCY, AR72143-4584
 Phone: 972-533-1767
 Fax: 501-279-1217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHNNY R PAINE · (Male)

NPI Number 1295708428
Status Active
Credentials D.O
Entity Individual
Enumeration date 02/08/2006
Last updated 02/16/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # R-3454
  • OK License # 3902
  • TX License # L4621
  • AR Medicaid 103756003
  • OK Medicaid 1203902
  • TX Medicaid 197838901
  • TX Medicaid 197838902
Hospital affiliation(s)
  • BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK - (Acute Care)
    3333 SPRINGHILL DRIVE
    NORTH LITTLE ROCK, AR 72117
  • WHITE COUNTY MEDICAL CENTER - (Acute Care)
    3214 EAST RACE AVENUE
    SEARCY, AR 72143
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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