DR. LARRY AUSTIN JOHNSON JR. (NPI# 1841292000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841292000 |
| Entity Type | Individual |
| Full Name | DR. LARRY AUSTIN JOHNSON JR. |
| Credential | M.D. |
| Practice Address |
225 E Jackson Ave Jonesboro AR 72401-3119 |
| Mailing Address |
800 S Church St Ste 101 Jonesboro AR 72401-4154 |
| Practice Telephone | 8709320639 |
| Practice Fax Number | 8709320526 |
| Mailing Telephone | 8709320639 |
| Mailing Fax Number | 8709320526 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2011-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
E3004 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208791806 | 05 | |
| AR | 149994001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367032 | Larry R Johnson Jr. | Registered Nurse | 5011 State Rd, Fort Gratiot, MI 48059-2909 | 2018-12-16 |
| 1093103491 | Larry Johnson Sr. | Private Vehicle | 600 Lake Air Dr, Suite 3a, Waco, TX 76710-5887 | 2015-01-07 |
| 1578981262 | Larry Johnson | Pharmacist | 18928 Auberry Rd, Clovis, CA 93619-9641 | 2014-03-31 |
| 1841588316 | Larry Brian Johnson | Pharmacist | 37435 Main St, Burney, CA 96013-4372 | 2011-07-18 |
| 1396983888 | Larry Wayne Johnson | Specialist | 9570 Ridgehaven Ct, Suite C, San Diego, CA 92123-1667 | 2009-01-22 |
| 1669448155 | Larry Dean Johnson | Chiropractor | 413 Ne Van Loon Ln, #126, Cape Coral, FL 33909-2525 | 2006-02-24 |
| 1932183043 | Larry Wayne Johnson | Family Medicine | 1015 Garden Lake Pkwy, Toledo, OH 43614-2779 | 2005-12-01 |
| 1275514911 | Larry Hugh Johnson | Family Medicine | 7643 Oak Park Pl Nw, Bremerton, WA 98311-9175 | 2005-11-09 |
| 1487203477 | Larry Darnell Johnson | Social Worker | 1030 5th Ave Se Ste 3000, Cedar Rapids, IA 52403-2416 | 2019-09-11 |
| 1902370281 | Larry D Johnson | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2019-01-19 |
| Street Address |
225 E JACKSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878867 | Richard R Reinholtz | Radiology | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2005-06-01 |
| 1528668241 | David Daniel Joel Hoffman II | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-10-30 |
| 1003425315 | Jesse Ash | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-07-23 |
| 1205457090 | Linda Gail Brown | Registered Nurse | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-05-03 |
| 1225689151 | Rocio Emy Roades | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-09-23 |
| 1992350730 | Leslie Britton | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-08-08 |
| 1538729116 | Leah Gathright | Registered Nurse | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-06-17 |
| 1831753243 | Katherine Ann Mcfarlin | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-05-01 |
| 1336602549 | Terrance Matthew Kane | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-04-13 |
| 1841753324 | Aldo Giovanni Estella | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578982526 | John Clifton Faircloth | Radiology | 800 S Chuch St, Suite 101, Jonesboro, AR 72401 | 2014-04-07 |
| 1083053615 | Caraway Medical Center | Radiology | 2929 S Caraway Rd Ste 1, Jonesboro, AR 72401-7335 | 2013-06-17 |
| 1184984155 | Holly Jo Gonzales | Radiology | 800 S Church St Ste 101, Jonesboro, AR 72401 | 2012-05-23 |
| 1922121698 | Wolf E Heberlein | Radiology | 3800 E Johnson Ave, Ste E, Jonesboro, AR 72401-1931 | 2007-04-09 |
| 1023074002 | Jeff Mullen | Radiology | 3100 Apache Dr, Suite C1, Jonesboro, AR 72401-7404 | 2006-04-26 |
| 1376506980 | St.bernards Imaging Center | Radiology | 1144 E Matthews Ave, Jonesboro, AR 72401-4314 | 2006-04-07 |
| 1518961580 | John Kenneth Phillips | Radiology | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2005-06-08 |
| 1609878867 | Richard R Reinholtz | Radiology | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2005-06-01 |
| 1912136524 | Georgia Vascular Institute, LLC | Radiology | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2009-07-06 |
| 1679715130 | Ezekiel Elliott Shotts | Radiology | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2009-03-30 |
| Find all providers in JONESBORO | ||||
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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.