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Stacey M Johnson MD PA

Specialist in Mountain Home, AR · enumerated 2006 · authorized official Pete Ross, Coo Vp of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831203512

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Registry record

Entity type Organization (Type 2)
Legal business name Stacey M Johnson MD PA
Other name <Unavail>
Practice address # 17 Medical Plaza, Mountain Home, AR, 72653
Phone (870) 425-6212
Fax (870) 424-3774
Enumeration date Aug 18, 2006
Last updated in NPPES May 29, 2008

Taxonomy & classification

174400000X Specialist Other Service Providers · License R2724 (AR) Primary

Authorized official

Name Pete Ross
Title Coo Vp of Operations
Phone (870) 425-6212

Other identifiers

Identifier Type State Issuer
111814002 Medicaid AR -
57598 Other AR AR BCBS PROV

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Stacey M Johnson MD PA located?
The practice location on file with NPPES is in Mountain Home, AR.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-05-29. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-29.