JOHN GRADY JOHNSTON JR.


Address: 405 W Jackson St, Carbondale, IL 62901
Phone: 6185490721

JOHN GRADY JOHNSTON JR. (NPI# 1700362183) 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) 1700362183
Entity Type Individual
Full Name JOHN GRADY JOHNSTON JR.
Credential DNP
Practice Address 405 W Jackson St
Carbondale
IL 62901
Mailing Address 1506 Gleneagle Dr
Marion
IL 62959-5231
Practice Telephone 6185490721
Mailing Telephone 7316168164
Enumeration Date 2018-07-18
Last Update Date 2018-08-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 041465807 IL Nursing Service Providers
Y 367500000X Nurse Anesthetist, Certified Registered 120003 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers JOHN JOHNSTON

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1477786614 John Thomas Johnston Family Medicine 8 Bakes Lane, Pinedale, WY 82941 2009-09-03
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1447758180 John Eric Johnston Social Worker 207d Colegate Dr, Marietta, OH 45750-2363 2018-01-29
1508391434 John Cadwallader Johnston Counselor 1651 Centennial Blvd, Springfield, OR 97477-3363 2017-04-28
1083958250 John Johnston Counselor 1115 Harbor Rd, Grove, OK 74344-3505 2012-11-12
1952627143 John F Johnston Counselor 720 University Ave, Las Vegas, NM 87701-4250 2010-04-13
1073784526 John R Johnston Registered Nurse 1898 Fort Rd, Sheridan, WY 82801-8320 2008-03-12
1548456643 John F Johnston Pharmacist 330 S 9th St, 330, Pittsburgh, PA 15203-1266 2007-09-21

Office Location

Street Address 405 W JACKSON ST
City CARBONDALE
State IL
Zip Code 62901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194726851 Shahriar Bozorgzadeh Emergency Medicine 405 W Jackson St, Carbondale, IL 62901-1462 2005-08-03
1568071132 Cynthia Sue Davis Nurse Practitioner 405 W Jackson St, Carbondale, IL 62901-1462 2020-07-29
1629686019 Dianne Zuasula Catolos Physical Therapist 405 W Jackson St, Carbondale, IL 62901-1462 2020-07-21
1871113696 Summer R Black Nurse Anesthetist, Certified Registered 405 W Jackson St, Carbondale, IL 62901-1462 2020-04-22
1871123067 Hailee Elizabeth Bowlin Nurse Practitioner 405 W Jackson St, Carbondale, IL 62901-1462 2020-01-16
1972061737 Briana Nichole Jones Speech-Language Pathologist 405 W Jackson St, Carbondale, IL 62901-1462 2019-03-11
1972099067 Andrew Mcnally Nurse Anesthetist, Certified Registered 405 W Jackson St, Carbondale, IL 62901-1462 2018-07-02
1134610587 Megan E Sims Nurse Anesthetist, Certified Registered 405 W Jackson St, Carbondale, IL 62901-1462 2018-05-22
1447749833 Erika Diericx Pharmacist 405 W Jackson St, Carbondale, IL 62901-1462 2018-05-01
1609388545 Rina Elizabeth Caslow Nurse Practitioner 405 W Jackson St, Carbondale, IL 62901 2017-11-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558961268 Gerad Aaron Harsy Pharmacist Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 2020-10-30
1437708674 Board of Trustees of Southern Illinois University Clinic/Center 300 W Oak Street, Carbondale, IL 62901 2019-09-10
1306317383 Rachael O Johnson Nurse Practitioner 404 S. Lewis Ln, Carbondale, IL 62901 2018-12-17
1740795194 Megan Marie Zimmerman Nurse Practitioner 1100 W Diann Ln., Carbondale, IL 62901 2017-12-07
1295244242 Amy Elizabeth Prudencio Social Worker 1301 E. Walnut Street, Carbondale, IL 62901 2017-09-21
1740708171 Theresa Aleise Goodin Speech-Language Pathologist 1301 East Walnut Street, Carbondale, IL 62901 2017-09-06
1144762527 Kathleen Chwalisz Rigney Psychologist 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 2016-11-16
1285185173 Shawnee Health Service and Development Corp Social Worker 404 S. Lewis Lane, Carbondale, IL 62901 2016-10-17
1437605094 Arielle Greer Nurse's Aide 510 E. Russell St., A, Carbondale, IL 62901 2016-09-01
1518413863 Complete Family Eyecare of Carbondale, PC Optometrist 1241 East Walnut Street, Carbondale, IL 62901 2016-08-28
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639223464 James David Wade Nurse Anesthetist, Certified Registered 35 Albany Rd Ste C, Carbondale, IL 62903-7605 2007-01-22
1811949910 Devon G Barnes Nurse Anesthetist, Certified Registered 35 Albany Road, Suite C, Carbondale, IL 62903 2006-05-17
1811989627 Pamela Kay Sparling Nurse Anesthetist, Certified Registered 450 W Jackson St, Dba Sih Medical Group Anesthesiology, Carbondale, IL 62901-1463 2005-08-17
1871113696 Summer R Black Nurse Anesthetist, Certified Registered 405 W Jackson St, Carbondale, IL 62901-1462 2020-04-22
1972099067 Andrew Mcnally Nurse Anesthetist, Certified Registered 405 W Jackson St, Carbondale, IL 62901-1462 2018-07-02
1134610587 Megan E Sims Nurse Anesthetist, Certified Registered 405 W Jackson St, Carbondale, IL 62901-1462 2018-05-22
1861991671 Ashley Marie Browning Nurse Anesthetist, Certified Registered 1239 E Main St, Carbondale, IL 62901-3175 2018-02-07
1306358445 Eric David Wagner Nurse Anesthetist, Certified Registered 405 W Jackson St, Carbondale, IL 62901-1462 2017-10-30
1205346483 Britley Ann White Nurse Anesthetist, Certified Registered 405 W Jackson St, Carbondale, IL 62901-1462 2017-10-02
1831608363 Phillip Dustin Deberry Nurse Anesthetist, Certified Registered 405 W Jackson St, Carbondale, IL 62901-1462 2017-09-27
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Competitor

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City CARBONDALE
Zip Code 62901

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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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