Individual provider · Type 1 NPI
Johnny Ross Paine, D.O
Adult Medicine Physician · Searcy, AR
NPI number
1295708428
Active
Practice location
15 Silver Oak Dr
Searcy, AR 72143-4584
Fax (501) 279-1217
Mailing address
PO Box 639
Thiensville, WI 53092-0639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | L4621 (TX) |
| Adult Medicine Physician | 207QA0505X | 3902 (OK) |
| Adult Medicine Physician Primary | 207QA0505X | R-3454 (AR) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1295708428
Johnny Ross Paine, D.O's National Provider Identifier is 1295708428, issued on Feb 8, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Searcy, AR. The record was last updated on Feb 16, 2024.