Johnny R Paine DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOHNNY R PAINE DO

Practice address

15 Silver Oak Dr
Searcy, AR 72143-4584

Phone

(972) 533-1767

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Johnny R Paine, DONPI 1295708428

Title

DO

Phone

(972) 533-1767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnny Ross Paine, D.O

  • Adult Medicine Physician
  • Searcy, AR
  • NPI 1295708428
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1477092377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530920639",
            "telephone_number": "414-247-9005",
            "fax_number": "414-247-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SILVER OAK DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434584",
            "telephone_number": "972-533-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY R PAINE DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "PAINE",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "972-533-1767",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deva Javellana, MHPP
• Anthony Jennings, MD
• Jerry a Burns MD PA
• Candice Jobe
• John Richard Duke Sr MD PLLC Dba Duke Medical
• Maria Johns, LPN
• Amanda Johnson, APRN
• Brooklynne Hope Johnson, DO
• Channa Leighan Johnson
• David M Johnson, MD

• Family Medicine Physician in Searcy, AR
• Providers in Searcy, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.