Active NPI
J.Michael Calhoun MD PA
- Neurological Surgery Physician
- North Little Rock, AR
National Provider Identifier
1164695417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- C6803
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310156900 | Other | AR | DEPT OF LABOR |
| P00145513 | Other | AR | RAIL ROAD MEDICARE |
| 111633001 | Medicaid | AR | |
| 1376531814 | Other | AR | INDIVIDUAL NPI |
| 52483 | Other | AR | AR BLUE CROSS |
| 5F041 | Other | AR | BLUE CROSS/BLUE SHIELD |
| 2848993 | Other | AR | CIGNA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurological Surgery Physician
- Little Rock, AR
- NPI 1124016662
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.