TRENTON RYAN JOHNSON (NPI# 1831798321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831798321 |
| Entity Type | Individual |
| Full Name | TRENTON RYAN JOHNSON |
| Practice Address |
174 Country Ln Kenna WV 25248-7225 |
| Practice Telephone | 3045310946 |
| Mailing Telephone | 3045310946 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497114870 | Trenton Johnson | Dentist | 10157 S 940 W, South Jordan, UT 84095 | 2016-02-15 |
| Street Address |
174 COUNTRY LN |
| City | KENNA |
| State | WV |
| Zip Code | 25248-7225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053922237 | Carmel L Baldwin | Technician | 446 Young Road, Charleston, WV 25248 | 2020-08-12 |
| 1083112593 | Greta Cochran | Technician | 1793 Young Hollow Rd, Kenna, WV 25248 | 2018-01-30 |
| 1871998500 | Natalie Campbell | Psychologist | 275 Business Park Dr., Kenna, WV 25248 | 2014-10-23 |
| 1588275507 | Mary Fay | Technician | 401 Dudden Fork Rd, Kenna, WV 25248-7247 | 2020-08-13 |
| 1295340784 | Mary Rutledge | Technician | 2311 Emma Rd, Kenna, WV 25248-7653 | 2020-09-10 |
| 1598182545 | Clayton Bays | Physical Therapist | 154 Walnut Way, Kenna, WV 25248-7687 | 2014-03-27 |
| 1174135594 | Tracy Dawn Roberts | Technician | 2158 Fisher Ridge Rd, Kenna, WV 25248-9625 | 2020-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340784 | Mary Rutledge | Technician | 2311 Emma Rd, Kenna, WV 25248-7653 | 2020-09-10 |
| 1174135594 | Tracy Dawn Roberts | Technician | 2158 Fisher Ridge Rd, Kenna, WV 25248-9625 | 2020-08-18 |
| 1588275507 | Mary Fay | Technician | 401 Dudden Fork Rd, Kenna, WV 25248-7247 | 2020-08-13 |
| 1083112593 | Greta Cochran | Technician | 1793 Young Hollow Rd, Kenna, WV 25248 | 2018-01-30 |
| 1871998500 | Natalie Campbell | Psychologist | 275 Business Park Dr., Kenna, WV 25248 | 2014-10-23 |
| 1598182545 | Clayton Bays | Physical Therapist | 154 Walnut Way, Kenna, WV 25248-7687 | 2014-03-27 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1720686066 | Ana Brandt | Physician Assistant | 33 Medical Center Dr, Morgantown, WV 26505-4024 | 2020-10-09 |
| 1518564012 | Lauren Brianne Peyton | Physician Assistant | 5322 Indiana St Apt 4, South Charleston, WV 25309-1055 | 2020-10-07 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1336754639 | Brittany Marie Herber | Physician Assistant | 22 Solomons Ct, Hedgesville, WV 25427-3683 | 2020-09-14 |
| 1417568312 | Kelsea Martin | Physician Assistant | 6 Dogwood St, Philippi, WV 26416-1660 | 2020-08-13 |
| 1720617889 | Keri Bedillion | Physician Assistant | 527 Medical Park Dr Ste 306, Bridgeport, WV 26330-9010 | 2020-04-02 |
| 1912539628 | Abigail Renee Grant | Physician Assistant | 123 Main Ave, Nitro, WV 25143-1270 | 2020-02-11 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| 1093355521 | Virginia Noemi Escobar-cheng | Physician Assistant | 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 | 2020-01-13 |
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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.