Julian Dale Calhoon, MD
Individual provider Active NPI Family Medicine Physician · Jacksonville, AR
NPI 1376549709 · NPPES record last updated Oct 29, 2008
Key facts
- NPI
- 1376549709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C4580 (AR)
- Practice address
- 1300 Braden St
Jacksonville, AR 72076-3719 - Phone
- (501) 985-5900
- Fax
- (501) 985-6016
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4580 | AR | MD | Family Medicine Physician |
| E2645 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Network Inc. | Family Medicine | Past | Accepting new patients |
| Physicians Network Inc Dba Cabot Medical Clinic | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C4580 | AR | Yes |
Addresses
Primary practice location
1300 Braden St
Jacksonville, AR 72076-3719
Mailing address
PO Box 309
Jacksonville, AR 72078-0309
Phone (501) 985-5900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106681001 | Medicaid | AR |
Other providers in Jacksonville, AR
- T.J. Allen Burrow
- Thomas Richard Bush
- Ca & JL Enterprises Inc
- Quinn E Caldwell
- Sarah P Caldwell
- Heidi Calhoun
- Capes Dialysis LLC
- Caring Hearts Counseling, LLC
- Rosslyn Leanne Carmen
- Rebecca R. Carr
All providers in Jacksonville, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.