MR. MICHAEL ANDY JUSTUS (NPI# 1538330220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538330220 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ANDY JUSTUS |
| Credential | PA-C |
| Practice Address |
2900 Hawkins Dr Searcy AR 72143-4802 |
| Practice Telephone | 5012782800 |
| Mailing Telephone | 5012782800 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2015-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA0000001589 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA | 1081760 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134184484 | Michael G Justus | Family Medicine | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2006-04-19 |
| Street Address |
2900 HAWKINS DR |
| City | SEARCY |
| State | AR |
| Zip Code | 72143-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230341 | Michael E Clevenger | Psychiatry & Neurology | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2005-07-29 |
| 1548872302 | Traci Lynne Spurlock | Nurse Practitioner | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-08-21 |
| 1376169110 | Majd Wess Sr. | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-06-17 |
| 1629607874 | Amanda Thomas | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-04-08 |
| 1588293062 | Leonard Bourgeois Jr. | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-04-06 |
| 1669001210 | Dayan E Sanchez | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-04-06 |
| 1245868157 | William Francis Barker | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-03-28 |
| 1689202566 | Diana Jung | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-03-27 |
| 1396372850 | Jin Yuan Wang | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-03-25 |
| 1306473681 | Eric Landa | Student in an Organized Health Care Education/Training Program | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
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| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235433707 | Ike Chidi Nwanonyiri | Physician Assistant | 3214 E Race Ave, Searcy, AR 72143-4810 | 2010-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650817 | Dickson Orthopedics, Pa | Physician Assistant | 1416 E Matthews, Suite 200, Jonesboro, AR 72401-4632 | 2017-03-14 |
| 1912455387 | Anthony D Long Jr. | Physician Assistant | 17 Mockingbird Ln, Pine Bluff, AR 71603-6107 | 2016-09-14 |
| 1215233887 | Joshua Anthony Trinkle | Physician Assistant | 224 W. Erie Ave, Harrison, AR 72601 | 2011-01-31 |
| 1831391655 | Mandy Suzanne Mooneyham | Physician Assistant | 3053 N College Ave, Fayetteville, AR 72703-3417 | 2007-06-04 |
| 1487252755 | David M Street | Physician Assistant | 2010 Active Way, Benton, AR 72022-9267 | 2020-10-09 |
| 1407460843 | Alexandra Paige Brown | Physician Assistant | 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 | 2020-09-02 |
| 1881158517 | Jordan Lane Milam | Physician Assistant | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 | 2019-01-28 |
| 1790252286 | Allison Henry | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-11-01 |
| 1649755133 | Hillary Michelle Mayberry | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-10-01 |
| 1013417518 | Corey Carver | Physician Assistant | 1000 S 52nd St, Rogers, AR 72758-8610 | 2018-02-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.