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FAIR PARK MEDICAL CLINIC
NPI 1740481191
Internal Medicine in Little Rock, AR

Active since May 31, 2007
5320 W 12TH ST, LITTLE ROCK, AR 72204(501) 663-6262(501) 663-3189 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fair Park Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIR PARK MEDICAL CLINIC (NPI 1740481191) is a healthcare organization registered as an internal medicine in Little Rock, Arkansas and active in the NPI registry since May 2007. The organization lists Carl Lynn Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1740481191
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAIR PARK MEDICAL CLINIC
Location Address5320 W 12TH STLittle Rock, AR 72204-1859
Mailing Address5320 W. 12th StreetLittle Rock, AR 72206 · (501) 663-6262 · Fax (501) 663-3189
Phone(501) 663-6262
Fax(501) 663-3189
Organization SubpartNo
Authorized OfficialCarl Lynn JohnsonOwner · (501) 663-6262
Enumeration DateMay 31, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1740481191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AR · MC2208
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5320 W 12TH ST, Little Rock, AR 72204
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Other Names 1

Doing Business AsFair Park Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CARL L JOHNSON MD
Internal Medicine
5320 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 663-6262
BIO-MEDICAL APPLICATIONS OF ARKANSAS, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5320 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 660-7867

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fair Park Medical Clinic's NPI number?

The NPI number for Fair Park Medical Clinic is 1740481191. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Fair Park Medical Clinic located?

Fair Park Medical Clinic is located at 5320 W 12th St, Little Rock, AR 72204. The listed phone number is (501) 663-6262.

What is Fair Park Medical Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Fair Park Medical Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.