Miles M Johnson, M.D. P.a.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MILES M JOHNSON, M.D. P.A.

Doing business as

Northwest Arkansas EMG Clinic

Practice address

2820 E Millennium PL
Suite 1
Fayetteville, AR 72703-6514

Phone

(479) 251-8055

NPI assigned

Aug 22, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Miles M Johnson, MDNPI 1811928013

Title

President/Doctor

Phone

(479) 251-8055

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Northwest Arkansas EMG Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miles McHaney Johnson, M.D.

  • Electrodiagnostic Medicine Physician
  • Fayetteville, AR
  • NPI 1811928013

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD Authorized official
• Tyler Estes, MD

  • Electrodiagnostic Medicine Physician
  • Fayetteville, AR
  • NPI 1912586454
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1194717462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9450",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030025",
            "telephone_number": "479-251-8055",
            "fax_number": "479-251-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E MILLENNIUM PL",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036514",
            "telephone_number": "479-251-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES M JOHNSON, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "479-251-8055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155016002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100848150A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Arkansas EMG Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony David Middleton
• Midtown Counseling
• Mark L Miedema, M.D.
• Mike Buffington, M.D., P.a.
• Andrew Mikles
• Millennium Dental, PLLC
• Millennium Dental, PLLC
• Ashley H Miller
• Austin Michael Miller
• Catherine Miller

• Physical Medicine & Rehabilitation Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.