Organization Active NPI

John E Alexander Jr MD PA

  • Family Medicine Physician
  • Magnolia, AR
National Provider Identifier
1225082159
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C5751 Issued in AR
Legal business name
JOHN E ALEXANDER JR MD PA
Practice address
104 Hospital Road
Magnolia, AR 71753
Phone
(870) 234-2144
Fax
(870) 234-2149
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. John E Alexander Jr, MD
Title
MD
Phone
(870) 234-2144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C5751 AR Primary

Addresses

Primary practice location

104 Hospital Road
Magnolia, AR 71753

Mailing address

PO Box 129
Magnolia, AR 71754-0129
Phone (870) 234-2144

Other identifiers 2

IdentifierTypeStateIssuer
101600001MedicaidAR
50071OtherARBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1225082159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717540129",
            "telephone_number": "870-234-2144",
            "fax_number": "870-234-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HOSPITAL ROAD",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "71753",
            "telephone_number": "870-234-2144",
            "fax_number": "870-234-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E ALEXANDER JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER JR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "870-234-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101600001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50071",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.