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JOHNSON DERMATOLOGY CLINIC PLLC NPI 1437110962


NPI Information

NPI: 1437110962
Provider Name: JOHNSON DERMATOLOGY CLINIC PLLC

Doing Business As: JOHNSON DERMATOLOGY

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 04D1052897

Address:
5921 RILEY PARK DR
FORT SMITH, AR
ZIP 72916
Phone: (479) 649-3376
Get Directions

JOHNSON DERMATOLOGY CLINIC PLLC is a dermatology in Fort Smith, AR. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. JOHNSON DERMATOLOGY CLINIC PLLC NPI is 1437110962. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Johnson Dermatology.

The provider's business location address is:

5921 RILEY PARK DR
FORT SMITH, AR
ZIP 72916-103
Phone: (479) 649-3376
Fax: (479) 646-0133

The provider's authorized official is Sandra Marchese Johnson .
The authorized official title is General Manager and has the following contact phone number (479) 649-3376.

The CLIA number assigned to this NPI record is 04D1052897 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/2/2006 and was last updated on 8/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryNo
3207ND0900XDermatologyDermatopathologyNo
4207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyNo
5207NP0225XDermatologyPediatric DermatologyNo
6207NS0135XDermatologyProcedural DermatologyNo
7207N00000XDermatologyMC-2480ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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