PHYSICIANS MEDICAL CENTER OF THE OZARKS
NPI 1831203512
Specialist in Mountain Home, AR

Q: What is Stacey M Johnson MD PA's NPI number?

The NPI number for Stacey M Johnson MD PA is 1831203512. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as Physicians Medical Center Of The Ozarks.

Q: What is Stacey M Johnson MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 18, 2006

# 17 MEDICAL PLAZA, MOUNTAIN HOME, AR 72653(870) 425-6212(870) 424-3774 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Physicians Medical Center Of The Ozarks NPPES

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

PHYSICIANS MEDICAL CENTER OF THE OZARKS (NPI 1831203512) is a healthcare organization registered as a specialist in Mountain Home, Arkansas and active in the NPI registry since August 2006. The organization lists Pete Ross, Coo Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1831203512

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSTACEY M JOHNSON MD PA

Location Address# 17 MEDICAL PLAZAMountain Home, AR 72653

Mailing Address# 17 Medical PlazaMountain Home, AR 72653 · (870) 425-6212 · Fax (870) 424-3774

Phone(870) 425-6212

Fax(870) 424-3774

Organization SubpartNo

Authorized OfficialPete RossCoo Vp Of Operations · (870) 425-6212

Enumeration DateAugust 18, 2006

Last NPPES UpdateMay 29, 2008

✔ NPI 1831203512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AR · R2724

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

# 17 MEDICAL PLAZA, Mountain Home, AR 72653

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Other Names 1

Doing Business AsPhysicians Medical Center Of The Ozarks

Other Identifiers 3

Other57598AR · Ar Bcbs Prov

Medicaid111814002AR

Medicare ID-Type Unspecified57598AR · Medicare Provider #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PAIN CLINIC OF NORTH ARKANSAS PLLC

Anesthesiology (Pain Medicine)

# 17 MEDICAL PLAZA
MOUNTAIN HOME, AR 72653

Baxter County (870) 425-6212

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 Stacey M Johnson MD PA's NPI number?

The NPI number for Stacey M Johnson MD PA is 1831203512. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as Physicians Medical Center Of The Ozarks.

Where is Stacey M Johnson MD PA located?

Stacey M Johnson MD PA is located at # 17 Medical Plaza, Mountain Home, AR 72653. The listed phone number is (870) 425-6212.

What is Stacey M Johnson MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stacey M Johnson MD PA was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.