Provider Demographics
NPI:1053493122
Name:SWEATT, JOHN ALBERT (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ALBERT
Last Name:SWEATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 BEACHVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-9653
Mailing Address - Country:US
Mailing Address - Phone:501-627-6430
Mailing Address - Fax:
Practice Address - Street 1:512 BEACHVIEW CIR
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-9653
Practice Address - Country:US
Practice Address - Phone:501-627-6430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC7153207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR114344001Medicaid
AR114344001Medicaid
AR50892Medicare ID - Type Unspecified