CARROLL DON JOHNSON (NPI# 1073540159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073540159 |
| Entity Type | Individual |
| Full Name | CARROLL DON JOHNSON |
| Credential | M.D. |
| Practice Address |
2909 Military Rd Benton AR 72015-2721 |
| Practice Telephone | 5013156500 |
| Practice Fax Number | 5013150006 |
| Mailing Telephone | 5013156500 |
| Mailing Fax Number | 5013150006 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | E2435 | KY | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 1424420001 | 05 | |
| AR | BCBS | 5L735 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205155413 | Carroll Louise Johnson | Health Educator | 409 Nw 119th St, Oklahoma City, OK 73114-7312 | 2010-05-27 |
| Street Address |
2909 MILITARY RD |
| City | BENTON |
| State | AR |
| Zip Code | 72015-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518908375 | Robert Lee Fleming | Emergency Medicine | 2909 Military Rd, Benton, AR 72015-2721 | 2006-06-10 |
| 1699881250 | Randy Maddox | Emergency Medicine | 2909 Military Rd, Benton, AR 72015-2721 | 2006-08-23 |
| 1447260807 | David Swindle | Emergency Medicine | 2909 Military Rd, Benton, AR 72015-2721 | 2006-08-09 |
| 1427083310 | Gayle Gordon | Emergency Medicine | 2909 Military Rd, Benton, AR 72015-2721 | 2006-07-11 |
| 1861424459 | Southwest Emergency Associates | General Acute Care Hospital | 2909 Military Rd, Benton, AR 72015-2721 | 2006-07-06 |
| 1902833924 | Henry Simmons | Personal Emergency Response Attendant | 2909 Military Rd, Benton, AR 72015-2721 | 2006-06-26 |
| 1235165077 | Lena Rose | Emergency Medicine | 2909 Military Rd, Benton, AR 72015-2721 | 2006-06-23 |
| 1013943034 | Carter Dalton | Emergency Medicine | 2909 Military Rd, Benton, AR 72015-2721 | 2006-06-23 |
| 1912933854 | George Charles Richison | Personal Emergency Response Attendant | 2909 Military Rd, Benton, AR 72015-2721 | 2006-06-23 |
| 1891730511 | Arkansas Emergency Doctors,plc | Emergency Medicine | 2909 Military Rd, Benton, AR 72015-2721 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710929518 | River Valley Emergency Physicians | Personal Emergency Response Attendant | 2609 Military Rd, Benton, AR 72015-2717 | 2006-06-13 |
| 1902833924 | Henry Simmons | Personal Emergency Response Attendant | 2909 Military Rd, Benton, AR 72015-2721 | 2006-06-26 |
| 1912933854 | George Charles Richison | Personal Emergency Response Attendant | 2909 Military Rd, Benton, AR 72015-2721 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063608883 | Stephen Timonthy Southard | Personal Emergency Response Attendant | 102 Epperson Dr, Cabot, AR 72023-2104 | 2007-09-16 |
| 1316149701 | Kingdom Concepts, Inc. | Personal Emergency Response Attendant | 534 W Faulkner St, El Dorado, AR 71730-4544 | 2007-06-05 |
| 1174550990 | Larry Price | Personal Emergency Response Attendant | 1298 Old Cove Rd, Russellville, AR 72802-1563 | 2006-06-27 |
| 1902832710 | Todd Carter | Personal Emergency Response Attendant | 2302 College Avenue, Conway, AR 72034 | 2006-06-23 |
| 1962473728 | St Edward Mercy Foundation | Personal Emergency Response Attendant | 5401 Ellsworth Rd, Fort Smith, AR 72903-3219 | 2006-01-30 |
| 1669922308 | Teryn Denae Laseter | Personal Emergency Response Attendant | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-10-05 |
| 1518153337 | Lois Elaine Southard | Personal Emergency Response Attendant | 102 Epperson Dr, Cabot, AR 72023-2104 | 2007-09-16 |
| 1699972059 | Steven Charles Schueller | Personal Emergency Response Attendant | 1000 Walnut Street, Crossett, AR 71635-3542 | 2007-06-29 |
| 1568542603 | Garnett Julian Leonard | Personal Emergency Response Attendant | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-10-16 |
| 1871522953 | Garrett Nmi Elam | Personal Emergency Response Attendant | 1703 N Buerkle St, Stuttgart, AR 72160-3153 | 2006-07-01 |
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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.