Organization
J.MICHAEL CALHOUN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY HENRY (OFFICE MANAGER)
(501) 771-2000
Entity
Organization
Contact information
Practice address
4020 RICHARDS RD, SUITE I, NORTH LITTLE ROCK, AR 72117-2650
(501) 353-2123
(501) 771-4672
Mailing address
4020 RICHARDS RD, SUITE I, NORTH LITTLE ROCK, AR 72117-2650
(501) 353-2123
(501) 771-4672
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C6803
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111633001
—
AR
01
—
1376531814
INDIVIDUAL NPI
AR
01
—
2848993
CIGNA
AR
01
—
310156900
DEPT OF LABOR
AR
01
—
52483
AR BLUE CROSS
AR
01
—
5F041
BLUE CROSS/BLUE SHIELD
AR
01
—
P00145513
RAIL ROAD MEDICARE
AR
Enumeration date
04/08/2008
Last updated
04/27/2015
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