MR. ROEL MARIO JOHNSON


Address: 805 N Glenwood Blvd, Tyler, TX 75702-5033
Phone: 9035090800

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 805 N GLENWOOD BLVD
City TYLER
State TX
Zip Code 75702-5033

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962840223 Daniel P Armstrong Rehabilitation Counselor 805 N Glenwood Blvd, Tyler, TX 75702-5033 2013-06-10

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 247200000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Other

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City TYLER
Zip Code 75702

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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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