DR. FREDERICK DWAYNE JOHNSON JR.


Address: 5 Woods Cv, Little Rock, AR 72210-9108
Phone: 5013485797

DR. FREDERICK DWAYNE JOHNSON JR. (NPI# 1619143914) 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) 1619143914
Entity Type Individual
Full Name DR. FREDERICK DWAYNE JOHNSON JR.
Credential M.D.
Practice Address 5 Woods Cv
Little Rock
AR 72210-9108
Practice Telephone 5013485797
Enumeration Date 2008-05-06
Last Update Date 2016-06-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
51504 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN Q007629 05

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1104983360 Frederick L Johnson Anesthesiology 987 Parallel Dr, Lakeport, CA 95453-5702 2007-01-03
1740375971 Frederick W Johnson Surgery 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2765 2006-10-04
1376555268 Frederick G. Johnson Pediatrics 1400 E Palomar St, Chula Vista, CA 91913-1800 2006-08-12
1205851672 Frederick C Johnson Pediatrics 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 2006-07-13

Office Location

Street Address 5 WOODS CV
City LITTLE ROCK
State AR
Zip Code 72210-9108

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487290888 John Hunter Bramlitt Counselor 12320 I-30, Little Rock, AR 72210 2019-11-20
1972159267 Arkansas Baptist Children's Homes and Family Ministries Counselor 12400 I-30, Little Rock, AR 72210 2019-08-13
1952956864 Hanrietta Evans Behavior Technician Youth Home Inc, 20302 Colonel Glenn Rd, Little Rock, AR 72210 2019-08-07
1821597287 Deanna Smith Counselor 12320 I-30 Frontage Road, Little Rock, AR 72210 2018-02-12
1922485481 Whitney Brown Social Worker 20400 Colonel Glenn, Little Rock, AR 72210 2015-05-04
1679978191 Jennifer Black Counselor 20302 Col Glenn Road, Little Rock, AR 72210 2014-10-27
1831593896 James William Takach Family Medicine 14519 Wimbledon Loop, Little Rock, AR 72210 2014-10-20
1811319734 Ben Malone Case Manager/Care Coordinator 20400 Col Glenn Road, Little Rock, AR 72210 2014-01-12
1487924296 Tara Brown Case Manager/Care Coordinator 20302 Colonel Glenn Rd., Little Rock, AR 72210 2012-01-10
1972889061 D. Rachelle Rial Case Manager/Care Coordinator 20400 Col Glenn Rd., Little Rock, AR 72210 2011-11-02
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144853821 Resort Radiology, Pllc Radiology 13107 Colonel Glenn Rd, Little Rock, AR 72210-2319 2020-02-20
1164713061 Jackson Mott Farrow Radiology 1115 W 3rd St, Little Rock, AR 72201-2007 2011-04-26
1366733404 Steven Matthew Wright Radiology 17310 Lamarche Blvd, Little Rock, AR 72223-9125 2011-04-24
1477888204 Raja Shaikh Radiology 4301 W Markham St Dept Of, Slot #556,university of Arkansas for Meidcal Sciences, Little Rock, AR 72205-7101 2009-10-13
1205066859 Peter Lindley Radiology 9708 Overby Ct, Little Rock, AR 72205-1514 2009-07-16
1992947204 Charles Drew Sessions Radiology 14 Lorna Dr, Little Rock, AR 72205-2533 2009-04-01
1538341391 Seark Radiology Pa Radiology 19 Hickory Hills Cir, Ste 2c, Little Rock, AR 72212-2766 2007-12-03
1821282971 Asima Yousaf Radiology 2015 Wellington Plantation Dr, Little Rock, AR 72211-2093 2007-08-31
1467674606 Kalyani Vallurupalli Radiology 11 Hoggards Rdg, Little Rock, AR 72211-3795 2007-05-03
1598843989 Arkansas Specialty Radiology, Pllc Radiology 1115 West 3rd Street, Little Rock, AR 72201-2007 2006-11-01
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Competitor

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City LITTLE ROCK
Zip Code 72210

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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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