BENJAMIN JOHNSON (NPI# 1457958282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457958282 |
| Entity Type | Individual |
| Full Name | BENJAMIN JOHNSON |
| Practice Address |
830 S Gloster St Tupelo MS 38801-4934 |
| Mailing Address |
Po Box 3294 Tupelo MS 38803-3294 |
| Practice Telephone | 6623774394 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 901659 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588125066 | Benjamin Levi Johnson | Physician Assistant | 2208 Longwood Rd, Lynchburg, VA 24503-4220 | 2019-03-27 |
| 1053878660 | Benjamin Johnson | Technician | 46 Forrester St Sw Apt 1, Washington, DC 20032-2111 | 2019-03-01 |
| 1235679382 | Benjamin V Johnson Sr. | Technician, Pathology | 210 Crossings Blvd, Suite 227, Elverson, PA 19520-9070 | 2017-03-07 |
| 1972051613 | Benjamin Johnson IIi | Physical Therapy Assistant | 202 Canaan Rd, Stratford, CT 06614-4611 | 2016-09-12 |
| 1194142281 | Benjamin R Johnson | Anesthesiology | 1653 W Congress Parkway 739 Jelke Dept Anesthesia, Chicago, IL 60612-0000 | 2014-03-26 |
| 1851731590 | Benjamin Erusha Johnson | Surgery | 2740 W Foster Ave Ste 213, Chicago, IL 60625-3532 | 2013-06-26 |
| 1114287349 | Benjamin Everett Johnson | Counselor | 1000 Clay St, Kenner, LA 70062-6734 | 2012-05-22 |
| 1750670014 | Benjamin Singer Johnson | Dentist | 4027 N Bartlett Ave, Shorewood, WI 53211-1909 | 2011-04-06 |
| 1710286786 | Benjamin Johnson | Chiropractor | 917 8th Ave S Ste C, Nashville, TN 37203-4768 | 2011-03-16 |
| 1144458019 | Benjamin Aaron Johnson | Dentist | 4000 Bellmead Dr, Waco, TX 76705 | 2009-06-30 |
| Street Address |
830 S GLOSTER ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078746 | David Smith Talton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 830 S Gloster St, Nmmc East Tower 4th Floor, Tupelo, MS 38801-4934 | 2005-07-29 |
| 1265031561 | Lauren Hester | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-19 |
| 1972102275 | Matthew Hester | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-19 |
| 1093313397 | Brent Lee Hallmark | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-09 |
| 1144837451 | Kayla Ann Jenkins | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4996 | 2020-09-30 |
| 1720695190 | Kimberly Faye Goss | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4996 | 2020-09-29 |
| 1316554900 | Meaghan Reed | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-28 |
| 1659988269 | Anna Elizabeth Roberts | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-28 |
| 1487261954 | Helen Paige Long | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-28 |
| 1790392389 | Laken Morrison | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4996 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| 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 |
|---|---|---|---|---|
| 1528236890 | David A Vance | Nurse Anesthetist, Certified Registered | 830 South Glaster, Tupelo, MS 38801 | 2008-02-20 |
| 1598858383 | Paul M. Baker | Nurse Anesthetist, Certified Registered | 2015 Van St, Tupelo, MS 38804-1043 | 2006-10-02 |
| 1962518373 | Debbie E Kelley | Nurse Anesthetist, Certified Registered | 589 Garfield Street, Tupelo, MS 38801 | 2006-08-21 |
| 1417974908 | Mimi Cleveland Breedlove | Nurse Anesthetist, Certified Registered | 830 S Gloster, Tupelo, MS 38801 | 2006-07-17 |
| 1750309191 | Lewis T Rogers | Nurse Anesthetist, Certified Registered | 830 South Gloster St, Tupelo, MS 38801 | 2006-07-17 |
| 1265031561 | Lauren Hester | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-19 |
| 1972102275 | Matthew Hester | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-19 |
| 1205443348 | Robert Adams | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-23 |
| 1538775317 | Andrew Ballard | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-17 |
| 1659984086 | Mac Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 3353 N Gloster St, Tupelo, MS 38804-9735 | 2020-08-25 |
| Find all providers in TUPELO | ||||
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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.