Individual provider Active NPI

Calixto Cazano, M.D.

  • Family Medicine Physician
  • Walnut Ridge, AR
National Provider Identifier
1114289899
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-7561 Issued in AR
Practice address
201 Colonial Dr
Walnut Ridge, AR 72476-1410
Phone
(870) 886-5507
Fax
(870) 886-5632
NPI assigned
Jun 8, 2012
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-7561 AR Primary

Addresses

Primary practice location

201 Colonial Dr
Walnut Ridge, AR 72476-1410

Mailing address

PO Box 83
Corning, AR 72422-0083
Phone (870) 857-3399

Other practice location 1

1 Medical Dr
Paragould, AR 72450-4017
Phone (870) 236-2000

Other identifiers 2

IdentifierTypeStateIssuer
246331YJA8OtherARMEDICARE
194556001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120906000336 AR Practitioner - Family Practice 3971750449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1St Choice Healthcare IncGroup PAC ID 0648184218, 36 clinicians

Practice addresses (Care Compare)

1 Medical Dr
Suite 100
Paragould, AR 72450-4005
Phone (870) 236-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-7561ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Hospital Inc CurrentSince Feb 26, 2018 Accepting new patients
St. Bernards Hospital, Inc Current Accepting new patients
1St Choice Healthcare Inc CurrentSince Jul 16, 2012 Accepting new patients
1St Choice Healthcare Inc Current Accepting new patients
1St Choice Healthcare Inc Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1300 Creason Rd
Corning, AR 72422
Phone (870) 857-3399

2178 Highway 62 412
Highland, AR 72542
Phone (870) 994-2202

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107

1 Medical Dr
Paragould, AR 72450
Phone (870) 215-0187

1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 239-8503

1016 McQuay Ave
Pocahontas, AR 72455
Phone (870) 892-9949

141 Betty Dr
Pocahontas, AR 72455
Phone (870) 892-9949

172 Highway 62 W
Salem, AR 72576
Phone (870) 895-2735

201 Colonial Dr
Walnut Ridge, AR 72476
Phone (870) 886-5507

Interoperability endpoints

  • Direct secure messaging: calixto.cazano@1st.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1114289899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724220083",
            "telephone_number": "870-857-3399",
            "fax_number": "870-857-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COLONIAL DR",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761410",
            "telephone_number": "870-886-5507",
            "fax_number": "870-886-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724504017",
            "country_code": "US",
            "telephone_number": "870-236-2000",
            "fax_number": "870-236-5861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAZANO",
        "first_name": "CALIXTO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "246331YJA8",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194556001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Ridge, AR

Sources for this page

Verify at the official NPI Registry.