MR. LARRY G JOHNSON (NPI# 1407819725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407819725 |
| Entity Type | Individual |
| Full Name | MR. LARRY G JOHNSON |
| Credential | CRNA |
| Practice Address |
1104 Tusculum Blvd Suite 303 Greeneville TN 37745-4091 |
| Practice Telephone | 4236368600 |
| Practice Fax Number | 4236368892 |
| Mailing Telephone | 4236368600 |
| Mailing Fax Number | 4236368892 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2008-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN0000030838 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS OF TN | 0177990 | 01 |
| TN | NC MEDICAID | 8050485 | 01 |
| TN | 3600909 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367032 | Larry R Johnson Jr. | Registered Nurse | 5011 State Rd, Fort Gratiot, MI 48059-2909 | 2018-12-16 |
| 1093103491 | Larry Johnson Sr. | Private Vehicle | 600 Lake Air Dr, Suite 3a, Waco, TX 76710-5887 | 2015-01-07 |
| 1578981262 | Larry Johnson | Pharmacist | 18928 Auberry Rd, Clovis, CA 93619-9641 | 2014-03-31 |
| 1841588316 | Larry Brian Johnson | Pharmacist | 37435 Main St, Burney, CA 96013-4372 | 2011-07-18 |
| 1396983888 | Larry Wayne Johnson | Specialist | 9570 Ridgehaven Ct, Suite C, San Diego, CA 92123-1667 | 2009-01-22 |
| 1669448155 | Larry Dean Johnson | Chiropractor | 413 Ne Van Loon Ln, #126, Cape Coral, FL 33909-2525 | 2006-02-24 |
| 1932183043 | Larry Wayne Johnson | Family Medicine | 1015 Garden Lake Pkwy, Toledo, OH 43614-2779 | 2005-12-01 |
| 1275514911 | Larry Hugh Johnson | Family Medicine | 7643 Oak Park Pl Nw, Bremerton, WA 98311-9175 | 2005-11-09 |
| 1487203477 | Larry Darnell Johnson | Social Worker | 1030 5th Ave Se Ste 3000, Cedar Rapids, IA 52403-2416 | 2019-09-11 |
| 1902370281 | Larry D Johnson | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2019-01-19 |
| Street Address |
1104 TUSCULUM BLVD SUITE 303 |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37745-4091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992959 | Mearle E Meyer | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Ste 114, Greeneville, TN 37745-4091 | 2005-09-15 |
| 1295013746 | Pulmacare Inc | Durable Medical Equipment & Medical Supplies | 1104 Tusculum Blvd, Suite 316, Greeneville, TN 37745-4091 | 2011-08-02 |
| 1205062817 | Heather Colleen Gow | Psychologist | 1104 Tusculum Blvd, Suite 118, Greeneville, TN 37745-4091 | 2009-06-09 |
| 1205026499 | Innovative Sleep Diagnostics, LLC | Clinic/Center | 1104 Tusculum Blvd, Ste 301, Greeneville, TN 37745-4091 | 2007-07-25 |
| 1699818310 | Christopher D Latham | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2007-02-14 |
| 1568409076 | Greeneville Anesthesia Services | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-06-01 |
| 1659334878 | William G Gerrez | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-10 |
| 1679536890 | James R Kennedy | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-10 |
| 1437112653 | John Q Westbrook IIi | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-10 |
| 1609839836 | John R King | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
| 1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| 1477786168 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1413 Tusculum Blvd, Greeneville, TN 37745 | 2009-08-27 |
| 1043458128 | Greenville Dental Associates, Pllc | Dentist | 1308 Tusculum Blvd., Greeneville, TN 37745 | 2009-01-28 |
| 1275779555 | Professional Hearing Aid Ctr | Hearing Aid Equipment | 705 Professional Plaza, #3, Greenville, TN 37745 | 2008-12-17 |
| Find all providers in zip 37745 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457348773 | Tido A Latour | Nurse Anesthetist, Certified Registered | 830 Whirlwind Rd, Greeneville, TN 37743-5494 | 2005-10-03 |
| 1912992959 | Mearle E Meyer | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Ste 114, Greeneville, TN 37745-4091 | 2005-09-15 |
| 1699818310 | Christopher D Latham | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2007-02-14 |
| 1568409076 | Greeneville Anesthesia Services | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-06-01 |
| 1659334878 | William G Gerrez | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-10 |
| 1679536890 | James R Kennedy | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-10 |
| 1437112653 | John Q Westbrook IIi | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-10 |
| 1609839836 | John R King | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-10 |
| 1770546087 | F Ronald Roberts | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-08 |
| 1487623682 | David E Latham | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-03-17 |
| Find all providers in GREENEVILLE | ||||
| City | GREENEVILLE |
| Zip Code | 37745 |
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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.