DR. ERIC ALAN JOHNSON (NPI# 1003897802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003897802 |
| Entity Type | Individual |
| Full Name | DR. ERIC ALAN JOHNSON |
| Credential | M.D. |
| Practice Address |
1 Jarrett White Rd Tripler Army Medical Center Tripler Amc HI 96859-5001 |
| Mailing Address |
1 Jarrett White Rd Tripler Army Medical Center Attn: Mchk-qs Tripler Amc HI 96859-5001 |
| Practice Telephone | 8084332460 |
| Practice Fax Number | 8084331558 |
| Mailing Telephone | 8084332460 |
| Mailing Fax Number | 8084331558 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD-10823 | HI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114773 | Eric Johnson | Homemaker | 283 Grandview Ave, Wadsworth, OH 44281-1160 | 2020-11-08 |
| 1639713324 | Eric Andrew Johnson | Counselor | 301 S 70th St # 313, Lincoln, NE 68510-2469 | 2019-11-05 |
| 1396213849 | Eric Daniel Johnson | Clinic/Center | 111 S 11th Ave Ste 122, Yakima, WA 98902-3242 | 2018-11-02 |
| 1952890816 | Eric Johnson | Pharmacist | 2351 Coulee Rd, Hudson, WI 54016-9177 | 2018-05-07 |
| 1417324138 | Eric Johnson | Dentist | 9101 Pearl St Ste 217, Thornton, CO 80229-4353 | 2015-08-28 |
| 1649665399 | Eric Johnson | Student in an Organized Health Care Education/Training Program | University of Utah University Hospital 50 N Dr, Salt Lake City, UT 84132-0001 | 2015-03-31 |
| 1124428966 | Eric Johnson | Physical Therapist | 10311 Cross Creek Blvd Ste E, Tampa, FL 33647-2989 | 2014-08-29 |
| 1467863712 | Eric Johnson | Counselor | 3784 Welland Ave, Los Angeles, CA 90018-4139 | 2014-05-08 |
| 1245656867 | Eric Craig Johnson | Counselor | 215 Benbow Ave, San Jose, CA 95123-3704 | 2014-03-06 |
| 1205252913 | Eric Johnson | Speech-Language Pathologist | 6839 Fox Run Dr, Westerville, OH 43082-8693 | 2014-03-06 |
| Street Address |
1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER |
| City | TRIPLER AMC |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1477199149 | Thomas Petersen | Physical Therapist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-11-18 |
| 1285277962 | Emily Floyd Simpson | Nurse Practitioner | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-10-24 |
| 1659931731 | Melissa Nycole Work | Audiologist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-06-19 |
| 1366000887 | Andrea Moon | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-05-30 |
| 1316500242 | Kaitlin Dresser | Dietitian, Registered | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-04-16 |
| 1366925414 | Quoc Tuan Minh Luong | Licensed Vocational Nurse | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-09-13 |
| 1487131249 | Alexander Junho Song | Dentist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-07-25 |
| 1922591304 | Hannah Russin | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-06-11 |
| 1184116592 | Adam Kisling | Internal Medicine | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942659016 | Kenneth John Bogenberger | Surgery | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2016-06-08 |
| 1649219676 | Romarius Longmire | Surgery | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-06-05 |
| 1164476586 | Christopher H Moon | Surgery | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-dsg, Tripler Amc, HI 96859-5001 | 2006-05-20 |
| 1033184916 | Kurt Daniel Edwards | Surgery | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | 2006-02-22 |
| 1497734214 | Ian Freeman | Surgery | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830772 | Marc Kross Md Inc | Surgery | 30 E Lipoa St Unit 4108, Kihei, HI 96753 | 2018-05-02 |
| 1689108235 | Jason Spiker | Surgery | 885 Moaniala St, Honolulu, HI 96821-2549 | 2017-04-19 |
| 1457791717 | Eva Kiezik | Surgery | 1441 Kapiolani Blvd Ste 1720, Honolulu, HI 96814-4407 | 2013-07-01 |
| 1790055564 | Charles Peter Carroll | Surgery | 974 Kealaolu Avenue, Honolulu, HI 96816 | 2012-01-10 |
| 1114247988 | Edward Ling Sung Jim | Surgery | 1488 Ihiloa Loop, Honolulu, HI 96821-1347 | 2010-06-03 |
| 1912226671 | Eric Taehyun Chang | Surgery | 550 S Beretania St Ste 509, Honolulu, HI 96813-2496 | 2010-05-20 |
| 1871819417 | Lung-yi Lee | Surgery | 550 S Beretania St Ste 403, Honolulu, HI 96813-2496 | 2010-04-07 |
| 1285861120 | David Edward Henry | Surgery | 111 Hekili St Ste A481, Kailua, HI 96734 | 2009-06-18 |
| 1366678443 | Manami Okado | Surgery | 425 N Kuakini St, #601, Honolulu, HI 96817-2357 | 2009-06-03 |
| 1184806184 | Alistair Inc | Surgery | 81-956 Halekii St, Kealakekua, HI 96750-8104 | 2007-11-30 |
| Find all providers with the same taxonomy | ||||
| City | TRIPLER AMC |
| Zip Code | 96859 |
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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.