DR. SANDRA MARCHESE JOHNSON (NPI# 1447256102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447256102 |
| Entity Type | Individual |
| Full Name | DR. SANDRA MARCHESE JOHNSON |
| Credential | MD |
| Practice Address |
1301 S E St Fort Smith AR 72901-4716 |
| Mailing Address |
4021 W 8th St Little Rock AR 72204-2029 |
| Practice Telephone | 5016865021 |
| Mailing Telephone | 5016865021 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | E-1554 | AR | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
E1554 | AR | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
E-1554 | AR | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
E-1554 | AR | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
E1554 | AR | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
E-1554 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 139972001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9207 Highway 71 S, Suite 9, Fort Smith, AR 729169117 | 4796493376 | 4796460133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356966147 | Sandra Johnson | Home Health | 2055 Walton Rd Ste 302, Overland, MO 63114-5805 | 2020-06-08 |
| 1598315624 | Sandra Johnson | Technician | 19 Knollwood Dr, Rockledge, FL 32955-3708 | 2019-09-20 |
| 1700443199 | Sandra Kay Johnson | Nurse Practitioner | 13332 Lenfant Dr, Fort Washington, MD 20744-6500 | 2019-05-21 |
| 1972064582 | Sandra Renee Johnson | Registered Nurse | Evergreen Public Schools, 13501 Ne 28th St., Vancouver, WA 98682-8091 | 2019-03-27 |
| 1447624440 | Sandra Johnson | Social Worker | 719 Mount Elon Church Rd, Hopkins, SC 29061-8670 | 2015-11-14 |
| 1669849170 | Sandra Gayle Johnson | Speech-Language Pathologist | 749 Driskill Drive, Richmond, MO 64085 | 2015-09-01 |
| 1629207667 | Sandra Elizabeth Johnson | Social Worker | 3780 Tampa Rd Ste 105, Oldsmar, FL 34677-3030 | 2009-07-13 |
| 1083836852 | Sandra Y Johnson | Specialist | 1800 Edgewood Ave, West #164, Jacksonville, FL 32208-5928 | 2007-05-02 |
| 1487872057 | Sandra C. Johnson | Dentist | 270 Nassau Blvd, Garden City, NY 11530-5339 | 2007-04-20 |
| 1265656516 | Sandra K Johnson | Psychologist | 1001 Woodward Ave Fl 5, Detroit, MI 48226 | 2007-04-11 |
| Street Address |
1301 S E ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577381 | Katherine A Irish-clardy | Family Medicine | 1301 S E St, Fort Smith, AR 72901-4716 | 2005-06-09 |
| 1861868648 | Jennifer Becker | Nurse Practitioner | 1301 S E St, Fort Smith, AR 72901-4716 | 2015-08-17 |
| 1770842148 | Christopher Thomas Fortson | Family Medicine | 1301 S E St, Fort Smith, AR 72901-4716 | 2012-05-04 |
| 1467740225 | John C Lane | Family Medicine | 1301 S E St, Fort Smith, AR 72901-4716 | 2011-07-14 |
| 1801057583 | Tabasum Imran | Family Medicine | 1301 S E St, Fort Smith, AR 72901-4716 | 2008-06-24 |
| 1952316366 | Edward Larry Gills | Family Medicine | 1301 S E St, Fort Smith, AR 72901-4716 | 2006-07-31 |
| 1316918964 | David L. King | Family Medicine | 1301 S E St, Fort Smith, AR 72901-4716 | 2006-01-31 |
| 1326042037 | Bryan Hollan Clardy | Family Medicine | 1301 S E St, Fort Smith, AR 72901-4716 | 2005-06-09 |
| 1518961234 | Lawrence C Price | Internal Medicine | 1301 S E St, Fort Smith, AR 72901-4716 | 2005-06-09 |
| 1437153152 | Richard R Aclin | Pediatrics | 1301 S E St, Fort Smith, AR 72901-4716 | 2005-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165295 | Brad Russell Johnson | Dermatology | 9207 Highway 71 S, Suite 9, Fort Smith, AR 72916-9117 | 2005-06-27 |
| 1255788352 | Chelsea Jones Meltzer | Dermatology | 5921 Riley Park Dr, Fort Smith, AR 72916-6103 | 2016-05-18 |
| 1376780098 | The Dermatology Center Pllc | Dermatology | 1500 Dodson Ave, Suite 270, Fort Smith, AR 72901-5182 | 2009-01-16 |
| 1649450172 | Nedil Aldarondo-antonini | Dermatology | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2007-11-13 |
| 1417978958 | George Luke Lewis | Dermatology | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-21 |
| 1598782294 | Jack L Magness Jr. | Dermatology | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-17 |
| 1013904176 | Cyril E Severns | Dermatology | 1500 Dodson Ave, Ste 270, Fort Smith, AR 72901-5182 | 2005-10-04 |
| 1821085887 | Phillip C Stites | Dermatology | 1500 Dodson Ave, Ste 270, Fort Smith, AR 72901-5182 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677737 | Prime Medical Group Pllc | Dermatology | 1416 W 43rd Ave, Pine Bluff, AR 71603-7010 | 2020-10-20 |
| 1790384808 | Prime Medical Group Pllc | Dermatology | 625 United Dr Ste 320, Conway, AR 72032-7828 | 2020-10-20 |
| 1649879750 | Prime Medical Group Pllc | Dermatology | 5 Medical Park Dr Ste 200, Benton, AR 72015-3732 | 2020-10-20 |
| 1528667672 | Prime Medical Group Pllc | Dermatology | 315 Section Line Rd Ste A&b, Hot Springs, AR 71913-6480 | 2020-10-20 |
| 1487064473 | Laura Raquel Battle | Dermatology | 500 South 52nd Street, Rogers, AR 72758-7275 | 2014-04-30 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1801215751 | Allison Noel Hood | Dermatology | 9601 Baptist Health Drive Suite 860, Little Rock, AR 72205 | 2014-04-08 |
| 1710229141 | Mallory Hurst | Dermatology | 800 S Church St Ste 202, Jonesboro, AR 72401 | 2013-03-24 |
| 1720333990 | Vivian Shi | Dermatology | 4018 W Capitol Ave, Little Rock, AR 72205 | 2012-07-13 |
| 1295098440 | Garrett James Nelson | Dermatology | 9601 Baptist Health Dr Ste 690, Little Rock, AR 72205-6328 | 2012-06-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
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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.