DAVID BUTLER JOHNSON


Address: 806 Crestview Dr, Yazoo City, MS 39194-2511
Phone: 6627467498

DAVID BUTLER JOHNSON (NPI# 1114087483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114087483
Entity Type Individual
Full Name DAVID BUTLER JOHNSON
Credential M.D.
Practice Address 806 Crestview Dr
Yazoo City
MS 39194-2511
Practice Telephone 6627467498
Practice Fax Number 6627467498
Mailing Telephone 6627467498
Mailing Fax Number 6627467498
Enumeration Date 2006-12-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
06424 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 0123708 05

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Office Location

Street Address 806 CRESTVIEW DR
City YAZOO CITY
State MS
Zip Code 39194-2511

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023584703 Aslean Brown Home Health 522 Old Benton Rd, Yazoo City, MS 39194 2018-10-19
1326521048 Hailey Parks Beckwith Nurse Practitioner 635 W Willie Morris Pkwy, Yazoo City, MS 39194 2018-09-09
1003354580 Wal-mart Stores East, Lp Technician/Technologist 2129 Grand Ave, Yazoo City, MS 39194 2017-02-06
1285049593 Baptist Medical Center - Yazoo, Inc. Family Medicine 307 E 15 St., Yazoo City, MS 39194 2014-06-25
1326453648 Kings Daughters Hospital of Yazoo County, Inc General Acute Care Hospital 748 E 15 St., Yazoo City, MS 39194 2014-06-25
1033440268 Medical Foundation of Central Mississippi Internal Medicine 828 Grand Avenue, Yazoo City, MS 39194 2010-01-28
1659537884 Family Dental Clinic of Yazoo City, LLC Dentist 15415 Highway 49 South, Yazoo City, MS 39194 2008-08-07
1245403351 Eyedeal Optical Yazoo City LLC Optometrist 728 East 15th Street, Yazoo City, MS 39194 2008-04-09
1245400423 Stefanie Patterson Dendy General Acute Care Hospital 825 Grand Avenue, Yazoo City, MS 39194 2008-03-04
1144499245 Martha Coker Home, Inc. Skilled Nursing Facility 2041 Grand Avenue, Yazoo City, MS 39194 2008-02-22
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568603330 Charmaine Lillian Mccleave Emergency Medicine 69 Jackson Rd, Hattiesburg, MS 39402 2009-03-09
1144344151 David L. Merideth Emergency Medicine 407b W Parkway Pl, Ridgeland, MS 39157-6031 2007-03-16
1184755308 Amy B Davis Emergency Medicine 121 Pratt Dr Ste 1a, Corinth, MS 38834-6026 2007-03-08
1952323073 Pratt Family Medical Clinic, P.a. Emergency Medicine 121 Pratt Drive, Suite 1 A, Corinth, MS 38834 2006-07-25
1730106600 Sean Brian Appleyard Emergency Medicine Hancock Medical Center--emergency Dept, 149 Drink Water Blvd, Bay St. Loois, MS 39520 2006-07-16
1699703389 Lisa D Anderson Emergency Medicine 935 Highway 51, Madison, MS 39110-8407 2006-06-29
1265486450 Emmanuel Kpabitey Emergency Medicine 110 Yazoo Ave Ste 121, Clarksdale, MS 38614-4397 2006-05-20
1184614984 Harvie D Harrier Emergency Medicine 114 E Percy St, Bed On The Bayou Cottage B, Indianola, MS 38751-2443 2005-10-24
1669904058 Daniel Krebs Emergency Medicine 2809 Denny Ave, Pascagoula, MS 39581-5301 2017-04-03
1043690936 George Regional Er Physicians Emergency Medicine 859 Winter St, Lucedale, MS 39452-6603 2015-06-04
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Competitor

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City YAZOO CITY
Zip Code 39194

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Dataset Information

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.

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