MR. MICHAEL ANDY JUSTUS PA-C NPI 1538330220

NPI Information

NPI: 1538330220
Provider Name: MR. MICHAEL ANDY JUSTUS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: WHITE COUNTY MEDICAL CENTER

PECOS Registration: Yes

Address:
2900 HAWKINS DR
SEARCY, AR
ZIP 72143
Phone: (501) 278-2800
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MR. Michael Andy Justus, PA-C is a surgical physician assistant in Searcy, AR with 17 years of experience. MR. Michael Andy Justus, PA-C NPI is 1538330220. 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:

2900 HAWKINS DR
SEARCY, AR
ZIP 72143-802
Phone: (501) 278-2800

The NPI 1538330220 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 2/13/2015.

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	363AS0400X	Physician Assistant	Surgical	PA0000001589	TENNESSEE	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	1081760	OTHER		NCCPA

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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