MR. PAUL EDGAR JOHNSTON


Address: 119 W Carpenter St, Benton, AR 72015-3317
Phone: 5078606910

MR. PAUL EDGAR JOHNSTON (NPI# 1841301843) 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) 1841301843
Entity Type Individual
Full Name MR. PAUL EDGAR JOHNSTON
Credential C.P., C-PED
Practice Address 119 W Carpenter St
Benton
AR 72015-3317
Practice Telephone 5078606910
Practice Fax Number 5018607587
Mailing Telephone 5078606910
Mailing Fax Number 5018607587
Enumeration Date 2006-08-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR AR BLUECROSS BLUESHIELD 49920 01

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1629128129 Paul F Johnston Physical Therapy Assistant 705 E Taylor St, Prairie Du Chien, WI 53821-2110 2007-01-10
1174606131 Paul E. Johnston Obstetrics & Gynecology 80 Mahalani St, Wailuku, HI 96793-2531 2006-10-23
1972613123 Paul D. Johnston Emergency Medicine 819 Ash St, Spooner, WI 54801-1201 2006-08-30
1568470557 Paul Christopher Johnston Dentist 925 Highway 55, Suite 104, Hastings, MN 55033-3734 2006-08-04

Office Location

Street Address 119 W CARPENTER ST
City BENTON
State AR
Zip Code 72015-3317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669507018 Arkansas Prosthetics and Pedorthics, Inc Durable Medical Equipment & Medical Supplies 119 W Carpenter St, Benton, AR 72015-3317 2007-02-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790343135 Justin King Case Manager/Care Coordinator 1502 Mary Kay Blv6, Benton, AR 72015 2019-05-31
1790253326 Seth Alexander Weisheit Nurse Practitioner 824 Military Road, Benton, AR 72015 2018-11-13
1396269627 Abby G Sims Speech-Language Pathologist 3391 Peachtree Lane, Benton, AR 72015 2017-07-28
1225551278 Jessica R Poe Case Manager/Care Coordinator 1502 Marykay Blvd, Benton, AR 72015 2017-07-21
1003357997 Jamaal Langston Case Manager/Care Coordinator 1502 Mark Kay Blvd, Benton, AR 72015 2017-03-13
1881138550 Shannon Gachot-ridgley Counselor 205 South Street Suite 3, Benton, AR 72015 2016-12-14
1295104578 Excel Health of Haskell, Pllc Clinical Nurse Specialist 6029 Us Hwy 67, Haskell, AR 72015 2015-09-17
1528464054 Kacey Jo Kiker Nurse Practitioner 620 W South St, Benton, AR 72015 2014-11-11
1700218252 Jamie Brunt Licensed Practical Nurse 1718 Old Hot Springs Rd, Benton, AR 72015 2013-08-07
1760738942 Kari J Richards Physical Therapist 5701 Springhill Rd, Bryant, AR 72015 2012-07-25
Find all providers in zip 72015

Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659907707 Terrence Randell Mitchell Prosthetist 991 Mount Willow Rd., Malvern, AR 72104 2020-03-20
1750899134 Tiffany Rene Smith Prosthetist 469 J E Clark Cv, Marion, AR 72364-2308 2018-01-18
1811993538 Havis Kent Rinehart Prosthetist 2425 W 28th Ave, Pine Bluff, AR 71603-5051 2005-06-27
1235668575 Michael Lee Kenney Prosthetist 120 Hill St, Hot Springs, AR 71901-6238 2017-06-09
1881717767 David Jonathan Durham Prosthetist 2221 E Race Ave, Searcy, AR 72143-4727 2007-04-07

Competitor

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City BENTON
Zip Code 72015

Improve Information

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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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