Organization Active NPI

E. Arnold Johnson, DO, PC

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1215948013
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
E. ARNOLD JOHNSON, DO, PC
Practice address
433 Saint Lukes Dr
Montgomery, AL 36117-7107
Phone
(334) 260-8308
Fax
(334) 260-8389
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Dr. Eustace Arnold Johnson III, D.O.
Title
Owner
Phone
(334) 260-8308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

433 Saint Lukes Dr
Montgomery, AL 36117-7107

Mailing address

433 Saint Lukes Dr
Montgomery, AL 36117-7107
Phone (334) 260-8308

Other names 1

  • Tricounty Industrial Medicine Specialist Doing business as

National Provider Directory

National Provider Directory

Locations

1758 Park Pl
Ste 105
Montgomery, AL 36106
Phone (334) 262-2602

433 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 262-2602

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1215948013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177107",
            "telephone_number": "334-260-8308",
            "fax_number": "334-260-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177107",
            "telephone_number": "334-260-8308",
            "fax_number": "334-260-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. ARNOLD JOHNSON, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EUSTACE",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-260-8308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tricounty Industrial Medicine Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.