Organization Active NPI

J.Michael Calhoun MD PA

  • Neurological Surgery Physician
  • North Little Rock, AR
National Provider Identifier
1164695417
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C6803 Issued in AR
Legal business name
J.MICHAEL CALHOUN MD PA
Practice address
4020 Richards Rd
Suite I
North Little Rock, AR 72117-2650
Phone
(501) 353-2123
Fax
(501) 771-4672
NPI assigned
Apr 8, 2008
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Kay Henry
Title
Office Manager
Phone
(501) 771-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X C6803 AR Primary

Addresses

Primary practice location

4020 Richards Rd
Suite I
North Little Rock, AR 72117-2650

Mailing address

4020 Richards Rd
Suite I
North Little Rock, AR 72117-2650
Phone (501) 353-2123

Other identifiers 7

IdentifierTypeStateIssuer
310156900OtherARDEPT OF LABOR
P00145513OtherARRAIL ROAD MEDICARE
111633001MedicaidAR
1376531814OtherARINDIVIDUAL NPI
52483OtherARAR BLUE CROSS
5F041OtherARBLUE CROSS/BLUE SHIELD
2848993OtherARCIGNA

National Provider Directory

National Provider Directory

Locations

3500 Springhill Dr
Ste 201
North Little Rock, AR 72117
Phone (501) 771-2000

4020 Richards Rd
Ste I
North Little Rock, AR 72117
Phone (501) 916-9693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1164695417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 RICHARDS RD",
            "address_2": "SUITE I",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172650",
            "telephone_number": "501-353-2123",
            "fax_number": "501-771-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 RICHARDS RD",
            "address_2": "SUITE I",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172650",
            "telephone_number": "501-353-2123",
            "fax_number": "501-771-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.MICHAEL CALHOUN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-771-2000"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "C6803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "310156900",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00145513",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111633001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1376531814",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS",
            "identifier": "52483",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "5F041",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2848993",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.