Johnny R Paine Do | |
15 Silver Oak Dr Searcy AR 72143-4584 | |
(972) 533-1767 | |
Not Available |
Full Name | Johnny R Paine Do |
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Speciality | Family Medicine |
Location | 15 Silver Oak Dr, Searcy, Arkansas |
Authorized Official Name and Position | Johnny R Paine (DO) |
Authorized Official Contact | 9725331767 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Johnny R Paine Do Po Box 639 Thiensville WI 53092-0639 Ph: (414) 247-9005 | Johnny R Paine Do 15 Silver Oak Dr Searcy AR 72143-4584 Ph: (972) 533-1767 |
NPI Number | 1477092377 |
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Provider Enumeration Date | 02/13/2017 |
Last Update Date | 02/16/2024 |
Medicare PECOS PAC ID | 0547547960 |
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Medicare Enrollment ID | O20170511001398 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477092377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Johnny R Paine |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295708428 PECOS PAC ID: 7517903081 Enrollment ID: I20131219000174 |
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