Stacey M Johnson MD PA
NPI 1831203512ActiveOrganization· Specialist· Mountain Home, AR
Specialist in Mountain Home, Arkansas, registered in NPPES in August 2006. The authorized official on file is Pete Ross, Coo Vp Of Operations.
Overview
| NPI | 1831203512 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2006 |
| Last updated in NPPES | May 29, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | R2724 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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