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PRIMARY CARE OF ARKANSAS CHRYSTAL JOHNSON MD NPI 1013161363


NPI Information

NPI: 1013161363
Provider Name: PRIMARY CARE OF ARKANSAS CHRYSTAL JOHNSON MD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
500 S UNIVERSITY AVE
SUITE 515
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 666-6100
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PRIMARY CARE OF ARKANSAS CHRYSTAL JOHNSON MD is a family medicine in Little Rock, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRIMARY CARE OF ARKANSAS CHRYSTAL JOHNSON MD NPI is 1013161363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 S UNIVERSITY AVE
SUITE 515
LITTLE ROCK, AR
ZIP 72205-302
Phone: (501) 666-6100
Fax: (501) 666-6107

The provider's authorized official is Chrystal Dian Johnson .
The authorized official title is Owner and has the following contact phone number (501) 666-6100.

The enumeration date for this NPI number is 11/13/2008 and was last updated on 10/17/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104010017400OTHERARKANSASQUAL CHOICE
27208150001MEDICARE NSCARKANSAS
3150345001MEDICAIDARKANSAS
45M652MEDICARE PINARKANSAS
5H98484MEDICARE UPINARKANSAS
6181136002MEDICAIDARKANSAS

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: 4/28/2024

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