MEDICARE: DR. CHRISTOPHER LEIGH JOHN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	E2644	AR
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	E2644	AR
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	E6244	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	110209691	OTHER	RAILROAD MC
2	4823006	OTHER	UNITED HC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4548106	OTHER	ACTNA

General Provider Information

NPI Number	:	1619974599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER LEIGH JOHN MD

Provider Business Mailing Address
First Line	:	11321 INTERSTATE 30
Second Line	:	STE 306
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-7067
Country	:	US
Telephone Number	:	501-407-0200
Fax Number	:	501-407-0220

Provider Business Practice Location Address
First Line	:	11321 INTERSTATE 30
Second Line	:	STE 306
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-7067
Country	:	US
Telephone Number	:	501-407-0200
Fax Number	:	501-407-0220

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/20/2010

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Directions to “ DR. CHRISTOPHER LEIGH JOHN MD” Practice Location

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