Individual
JOHN ROBERT BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9601 BAPTIST HEALTH DR, SUITE 990, LITTLE ROCK, AR 72205-6321
(501) 223-2860
(501) 223-2258
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7215
(501) 812-7207
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C6122
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115733001
—
AR
01
—
121650000
QUALCHOICE OF ARKANSAS
AR
01
—
5067212
AETNA
AR
01
—
52921
BLUE CROSS OF ARKANSAS
AR
01
—
780000179
UNITED HEALTHCARE
AR
Enumeration date
04/25/2006
Last updated
07/22/2020
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