Provider Demographics
NPI:1538137864
Name:WESTWOOD, JOHN JOSEPH JR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:JOSEPH
Last Name:WESTWOOD
Suffix:JR
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:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:AR
Mailing Address - Zip Code:72857-0397
Mailing Address - Country:US
Mailing Address - Phone:479-272-4236
Mailing Address - Fax:479-272-4424
Practice Address - Street 1:102 NORTH GARFIELD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:AR
Practice Address - Zip Code:72857
Practice Address - Country:US
Practice Address - Phone:479-272-4236
Practice Address - Fax:479-272-4424
Is Sole Proprietor?:No
Enumeration Date:2006-03-11
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC6176207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR105074001Medicaid
D83898Medicare UPIN