MR. BEN DOUGLAS JOHNSON (NPI# 1720152465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720152465 |
| Entity Type | Individual |
| Full Name | MR. BEN DOUGLAS JOHNSON |
| Credential | PA-C |
| Practice Address |
1445 Gateway Blvd Cottage Grove OR 97424-1224 |
| Mailing Address |
1292 High St Ste 224 Eugene OR 97401-3238 |
| Practice Telephone | 5416407625 |
| Mailing Telephone | 5415002500 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00825 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00825 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039459 | Ben Johnson | Chiropractor | 1265 Interstate Dr Ste 201b, Cookeville, TN 38501-5227 | 2020-09-30 |
| 1215379508 | Ben H Johnson | Pharmacist | 1164 Highway 133 N, Crossett, AR 71635-8838 | 2013-07-26 |
| 1144542184 | Ben Johnson | Licensed Practical Nurse | 19646 Wcr 8, Hudson, CO 80642-9033 | 2010-02-18 |
| 1033199252 | Ben R Johnson | Pharmacist | 3795 Kiesel Ave, Ogden, UT 84405-1601 | 2006-01-23 |
| 1184187312 | Ben Bartholow Johnson | Pharmacist | 2485 Highway 92, Washington, IA 52353-9337 | 2019-04-14 |
| 1174984488 | Ben Johnson | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2016-03-14 |
| 1013981224 | Ben D Johnson | Internal Medicine | 500 S University, Suite 415, Little Rock, AR 72205 | 2006-02-14 |
| 1982688933 | Ben W Johnson | Obstetrics & Gynecology | 9701 Sw Barnes Rd, Suite 200, Portland, OR 97225-6772 | 2005-12-02 |
| Street Address |
1445 GATEWAY BLVD |
| City | COTTAGE GROVE |
| State | OR |
| Zip Code | 97424-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714701 | Nancy J Worley | Physical Medicine & Rehabilitation | 1445 Gateway Blvd, Suite D, Cottage Grove, OR 97424 | 2005-07-15 |
| 1255683140 | Martin Roco | Nurse Practitioner | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2012-10-03 |
| 1891070207 | Devon E. Schneider | Nurse Practitioner | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2011-10-17 |
| 1578880548 | Larry Arthur Jackson | Family Medicine | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2010-04-29 |
| 1609068998 | Covered Bridge Physical Therapy LLC | Clinic/Center | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2007-08-10 |
| 1932281656 | William Vogel | Physician Assistant | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-10-20 |
| 1750492906 | Icco LLC | Clinic/Center | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-08-31 |
| 1407872815 | Diana L. V. Knee | Social Worker | 1445 Gateway Blvd, Suite A, Cottage Grove, OR 97424-1224 | 2006-07-15 |
| 1326085846 | Mary Ruth | Nurse Practitioner | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-06-01 |
| 1225001720 | Judith Dolene Stensland | Family Medicine | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936157 | Naomi Higgs | Physical Therapy Assistant | 515 Grant St, Cottage Grove, OR 97424 | 2019-11-10 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1215420625 | Zachary Booth | Student in an Organized Health Care Education/Training Program | 28188 Cottage Grove Lorane Rd, Cottage Grove, OR 97424 | 2018-06-11 |
| 1124404090 | Eileen Nittler | Social Worker | 1345 Birch Avenue, Cottage Grove, OR 97424 | 2015-08-03 |
| 1851799787 | Kathryn Brooks | Licensed Practical Nurse | 520 Patrick Loop, Cottage Grove, OR 97424 | 2014-12-09 |
| 1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
| 1730598558 | John Mansfield | Pharmacist | 120 Andrew Drive, Cottage Grove, OR 97424 | 2014-08-06 |
| 1700213493 | Aspen Injury Center LLC | Chiropractor | 1260 East Main Street, Cottage Grove, OR 97424 | 2013-09-26 |
| 1609172956 | Megan Olds | Counselor | 37 South 6th Street, Cottage Grove, OR 97424 | 2011-02-03 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| Find all providers in zip 97424 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1538538327 | Brandy Bump Zerby | Physician Assistant | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2015-09-22 |
| 1982952909 | Ekaterina Peterson | Physician Assistant | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005 | 2012-08-23 |
| 1467411504 | Jeffrey A Fischer | Physician Assistant | 500 Westlawn Dr, Cottage Grove, WI 53527 | 2006-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
| City | COTTAGE GROVE |
| Zip Code | 97424 |
Please comment or provide details below to improve the information on MR. BEN DOUGLAS JOHNSON.
| 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.