JEFFREY S JOHNSON (NPI# 1790952406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790952406 |
| Entity Type | Individual |
| Full Name | JEFFREY S JOHNSON |
| Credential | M.D. |
| Practice Address |
2010 Active Way Benton AR 72022-9267 |
| Practice Telephone | 5013150984 |
| Practice Fax Number | 5018471405 |
| Mailing Telephone | 5019439356 |
| Mailing Fax Number | 5018471405 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | E10619 | AR | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 9348A | WY | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 01011251395 | VA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 57-013137 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 1790952406 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1180 College Dr, Rock Springs, WY 829015868 | 3073825646 | 3073528467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114570652 | Jeffrey C. Johnson | Dentist | 250 Route 4 Ste 101, Hagatna, GU 96910-7110 | 2019-07-23 |
| 1144725391 | Jeffrey Phillip Johnson | Speech-Language Pathologist | 635 Commonwealth Ave Rm 326, Boston, MA 02215-1605 | 2018-03-29 |
| 1730684903 | Jeffrey Pace Johnson | Student in an Organized Health Care Education/Training Program | 750 E Adams St Rm 1816, Syracuse, NY 13210-2306 | 2018-03-28 |
| 1992256374 | Jeffrey S. Johnson | Counselor | 108 Okemos St, Mason, MI 48854-1263 | 2016-10-20 |
| 1598156713 | Jeffrey Johnson | Counselor | 3057 Acushnet Ave, New Bedford, MA 02745-3636 | 2015-02-10 |
| 1336542885 | Jeffrey Johnson | Physical Therapy Assistant | 563 S Grant St, Denver, CO 80209-4105 | 2014-09-29 |
| 1992110894 | Jeffrey Johnson | Dentist | 2120 Virginia Dr, Wichita Falls, TX 76309-4646 | 2014-06-30 |
| 1093125916 | Jeffrey William Johnson | Psychologist | 105 High Street, Warren, OH 44483-5195 | 2014-04-30 |
| 1922373851 | Jeffrey A. Johnson | Social Worker | 28 Roe Ln, Howell, NJ 07731-9071 | 2012-03-10 |
| 1962776039 | Jeffrey Johnson | Veterinarian | 1405 Bradford Way, Redding, CA 96003-4074 | 2012-03-06 |
| Street Address |
2010 ACTIVE WAY |
| City | BENTON |
| State | AR |
| Zip Code | 72022-9267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073596086 | Richard Dale Stevens | Physical Therapist | 2010 Active Way, Benton, AR 72019-0000 | 2005-11-23 |
| 1487252755 | David M Street | Physician Assistant | 2010 Active Way, Benton, AR 72022-9267 | 2020-10-09 |
| 1285141333 | Danny D Satterfield | Physician Assistant | 2010 Active Way, Benton, AR 72022-9267 | 2018-01-10 |
| 1376792457 | Jasmin Ann Lease | Physician Assistant | 2010 Active Way, Benton, AR 72019-7566 | 2008-09-15 |
| 1336368661 | Mark S Bailey Jr. | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72019-7566 | 2007-04-25 |
| 1952412892 | Donald Scott Walsh | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72019-7566 | 2006-08-31 |
| 1093825002 | Saline Orthopedic Group P A | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72022-9267 | 2006-08-30 |
| 1922082684 | Ralph D Cash | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72019-7566 | 2005-12-05 |
| 1336123512 | Jerry J Lorio | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72019-7566 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
| 1952913469 | Kaleigh Angleton | Pharmacist | 5500 Ar-5, Bryant, AR 72022 | 2020-08-18 |
| 1851937254 | Lonnell O Seamster Sr. | Nurse Practitioner | 501 Woody Drive, Alexander, AR 72022 | 2019-11-20 |
| 1366098998 | Hannah Marie London | Occupational Therapist | 350 School Drive, Bryant, AR 72022 | 2019-08-09 |
| 1356996987 | Micah Self | Occupational Therapy Assistant | 200 Nw 4th Street, Bryant, AR 72022 | 2019-08-09 |
| 1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
| 1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
| 1205283223 | V & S Xpress LLC | Non-emergency Medical Transport (VAN) | 719 Sedgefield, Bryant, AR 72022 | 2016-05-19 |
| 1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
| 1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
| Find all providers in zip 72022 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538522347 | Central Arkansas Spine Specialists | Orthopaedic Surgery | 5 Medical Park Dr, Ste 308, Benton, AR 72015-3729 | 2016-03-30 |
| 1336368661 | Mark S Bailey Jr. | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72019-7566 | 2007-04-25 |
| 1952412892 | Donald Scott Walsh | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72019-7566 | 2006-08-31 |
| 1093825002 | Saline Orthopedic Group P A | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72022-9267 | 2006-08-30 |
| 1700831872 | Jason A Smith | Orthopaedic Surgery | 5 Medical Park Dr, Ste 308, Benton, AR 72015-3729 | 2006-05-24 |
| 1265482426 | Claude E Saint-jacques | Orthopaedic Surgery | 617 Old Symsonia Rd, Benton, KY 42025-5042 | 2006-05-10 |
| 1922082684 | Ralph D Cash | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72019-7566 | 2005-12-05 |
| 1336123512 | Jerry J Lorio | Orthopaedic Surgery | 2010 Active Way, Benton, AR 72019-7566 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790257442 | Samuel G. Meredith Md Pa | Orthopaedic Surgery | 1229 State Highway 77 Ste 1, Marion, AR 72364-9050 | 2018-12-19 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1043612625 | University of Arkansas At Pine Bluff | Orthopaedic Surgery | 1200 University Dr, Pine Bluff, AR 71601-2780 | 2014-09-25 |
| 1881959450 | Robert J. Tomlinson Md, Pa | Orthopaedic Surgery | 212 W. Monroe Ave., Ste A, Lowell, AR 72745 | 2012-07-10 |
| 1497023147 | Reeves Spine and Orthopedic,llc | Orthopaedic Surgery | 224 W. Erie, Harrison, AR 72601 | 2011-12-09 |
| 1578840237 | Bill T. Shanlever | Orthopaedic Surgery | 1103 Wilkins Ave, Jonesboro, AR 72401 | 2011-11-09 |
| 1376828954 | Cooper Clinic, P.a. | Orthopaedic Surgery | 1500 Dodson Ave Ste 285, Fort Smith, AR 72901-5182 | 2011-10-14 |
| 1164700068 | Nwa Orthopaedic Consulting, Pa | Orthopaedic Surgery | 161 W Van Asche Dr Ste 101, Fayetteville, AR 72703-4999 | 2011-07-26 |
| 1588954416 | Donald Claude Bailey | Orthopaedic Surgery | 500 Fairway Cir Apt G, Springdale, AR 72764-1026 | 2011-04-12 |
| 1700183548 | Robert G Bebout Md | Orthopaedic Surgery | 1804 Rannoch Trce, Fort Smith, AR 72908-0971 | 2011-02-14 |
| Find all providers with the same taxonomy | ||||
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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.