Individual
JOHN P. MOUNSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 532, LITTLE ROCK, AR 72205-7101
(501) 686-5311
(501) 686-5935
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-12598
AR
207RC0000X
Cardiovascular Disease Physician
200700806
NC
207RC0000X
Cardiovascular Disease Physician
E-125998
AR
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
E-12598
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006092969
—
VA
05
—
1235295908
—
NC
01
—
147F5
BCBS OF NC
NC
05
—
5907167
—
NC
01
—
898682
MEDICARE
AR
01
—
NCV695A
MEDICARE
NC
01
—
P00416083
RAIL ROAD MEDICARE
NC
Enumeration date
12/28/2006
Last updated
01/28/2020
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