# MICHAEL D PAYNE MD PLLC PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245430594
- **Authorized official:** MICHAEL D PAYNE II M.D. (OWNER)
- **Authorized official phone:** (870) 352-3151

## Contact information

- **Practice address:** 200 N CLIFTON ST, FORDYCE, AR 71742-3027
- **Practice address phone:** (870) 352-3151
- **Practice address fax:** (870) 352-8497
- **Mailing address:** 200 N CLIFTON ST, FORDYCE, AR 71742-3027
- **Mailing address phone:** (870) 352-3151
- **Mailing address fax:** (870) 352-8497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E3409 | AR | Yes |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 05/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 149271001 | — | AR |