Individual provider Active NPI

John Timothy Dow, MD

  • Family Medicine Physician
  • Trumann, AR
National Provider Identifier
1386605491
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N-6770 Issued in AR
Practice address
1300 Industrial Park Dr
Trumann, AR 72472-9702
Phone
(870) 412-1122
Fax
(870) 418-1126
NPI assigned
Mar 29, 2006
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14292 OK
Family Medicine Physician 207Q00000X N-6770 AR Primary

Addresses

Primary practice location

1300 Industrial Park Dr
Trumann, AR 72472-9702

Mailing address

PO Box 1331
Jonesboro, AR 72403-1331
Phone (870) 418-1122

Other identifiers 1

IdentifierTypeStateIssuer
110952001MedicaidAR

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
I20100511001020 AR Practitioner - Family Practice 5193853216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

1300 Industrial Park Dr
Trumann, AR 72472-9702
Phone (870) 418-1122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N-6770ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients

Locations

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 933-1823

415 E Matthews Ave
Jonesboro, AR 72401

1300 Industrial Park Dr
Trumann, AR 72472
Phone (870) 412-1122

Organizations & group practices 4

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 3

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1386605491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1331",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031331",
            "telephone_number": "870-418-1122",
            "fax_number": "870-418-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 INDUSTRIAL PARK DR",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "724729702",
            "telephone_number": "870-412-1122",
            "fax_number": "870-418-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOW",
        "first_name": "JOHN",
        "middle_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "14292",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "N-6770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110952001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumann, AR

Sources for this page

Verify at the official NPI Registry.