MR. ROEL MARIO JOHNSON (NPI# 1912290099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912290099 |
Entity Type | Individual |
Full Name | MR. ROEL MARIO JOHNSON |
Credential | APT |
Practice Address |
805 N Glenwood Blvd Tyler TX 75702-5033 |
Practice Telephone | 9035090800 |
Practice Fax Number | 9035090803 |
Mailing Telephone | 9035090800 |
Mailing Fax Number | 9035090803 |
Enumeration Date | 2011-05-23 |
Last Update Date | 2011-05-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225CA2400X |
Rehabilitation Counselor Specialization: Assistive Technology Practitioner |
00965268 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 247200000X | Technician, Other | 00965268 | TX | Technologists, Technicians & Other Technical Service Providers |
Street Address |
805 N GLENWOOD BLVD |
City | TYLER |
State | TX |
Zip Code | 75702-5033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962840223 | Daniel P Armstrong | Rehabilitation Counselor | 805 N Glenwood Blvd, Tyler, TX 75702-5033 | 2013-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
Find all providers in zip 75702 |
Taxonomy Code | 247200000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Other |
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245857580 | Tara Latonya Cooper | Technician, Other | 1743 Troup Hwy, Tyler, TX 75701-5869 | 2020-07-02 |
1689923443 | Justin A Schutz | Technician, Other | 2811 Robertson Rd, Tyler, TX 75701-2524 | 2012-09-07 |
1013266758 | Seth Vaughan Burton | Technician, Other | 13213 Hwy 155 S Ste B, Tyler, TX 75703-6561 | 2012-09-07 |
1447227723 | Linka Suzanne Malmin | Technician, Other | 15601 Wood Ln, Tyler, TX 75707-6943 | 2006-03-04 |
1669908018 | Jose Carlos Lopez | Technician, Other | 12406 State Highway 155 S, Tyler, TX 75703-6446 | 2017-05-04 |
1922480326 | Michael Shannon | Technician, Other | 12406 State Highway 155 S, Tyler, TX 75703-6446 | 2015-06-22 |
1528321007 | Jason Cypert | Technician, Other | 13213 Hwy 155 S, Tyler, TX 75703-6561 | 2012-06-20 |
1871889048 | Ray Bockover | Technician, Other | 13213 Hwy 155 S, Suite B, Tyler, TX 75703-6561 | 2011-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174120083 | Pablo Gonzales IIi | Technician, Other | 10114 Stella Link Rd Ste A-2, Houston, TX 77025-5300 | 2020-10-04 |
1477160315 | Kaili Kennedy | Technician, Other | 66 Daughtrey Ave Apt 516, Waco, TX 76706-1677 | 2020-09-24 |
1194338673 | Porscha Williams | Technician, Other | 2520 Echo Point Dr, Fort Worth, TX 76123-1136 | 2020-08-25 |
1295351914 | Richard Allen Majors | Technician, Other | 6429 Green Ridge Dr, Watauga, TX 76148-1414 | 2020-06-18 |
1740824804 | Sara Wolfe | Technician, Other | 4245 N Central Expy Ste 450, Dallas, TX 75205-4530 | 2019-11-01 |
1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
1154963007 | Alex Robert Langford | Technician, Other | 1901 N. Glenville Dr., Suite 501, Richardson, TX 75081 | 2019-10-11 |
1518517762 | Clayton Ernest Robertson | Technician, Other | 5555 N Lamar Blvd Ste D113, Austin, TX 78751-1075 | 2019-09-18 |
1013561778 | Joslyn Love | Technician, Other | 1228 Timber Ln, Frisco, TX 75036-1743 | 2019-07-30 |
1497309165 | Erin Elizabeth Daugherty | Technician, Other | 5702 Timbergate Dr Apt 224, Corpus Christi, TX 78414-3180 | 2019-07-30 |
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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.