JOHN J JUCAS M.D. NPI 1295849495

NPI Information

NPI: 1295849495
Provider Name: JOHN J JUCAS, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
525 W FAULKNER ST
EL DORADO, AR
ZIP 71730
Phone: (870) 862-5485
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John J Jucas, M.D. is a specialist in El Dorado, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. John J Jucas, M.D. NPI is 1295849495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

525 W FAULKNER ST
EL DORADO, AR
ZIP 71730-518
Phone: (870) 862-5485
Fax: (870) 863-5242

The enumeration date for this NPI number is 8/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		C4839	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14299000000	OTHER	ARKANSAS	QUALCHOICE
2	B90336	MEDICARE UPIN	ARKANSAS
3	52777	OTHER	ARKANSAS	BLUECROSS BLUESHIELD
4	106151001	MEDICAID	ARKANSAS
5	24614	OTHER	LOUISIANA	BLUECROSS BLUESHIELD
6	710543368	OTHER	ARKANSAS	TRICARE
7	52777	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS
8	1911194	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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