Active NPI
E. Arnold Johnson, DO, PC
- Family Medicine Physician
- Montgomery, AL
National Provider Identifier
1215948013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.