NPIMap

Individual provider Active NPI

Trent D Johnson, M.D.

  • Orthopaedic Surgery Physician
  • Hot Springs, AR
National Provider Identifier
1588820864
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E7244 Issued in AR
Practice address
1900 Malvern Ave
Suite 301
Hot Springs, AR 71901-7759
Phone
(501) 321-0555
Fax
(501) 623-1521
NPI assigned
Aug 5, 2008
Last updated
Dec 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X KY44444 KY
Orthopaedic Surgery Physician 207X00000X E7244 AR Primary

Addresses

Primary practice location

1900 Malvern Ave
Suite 301
Hot Springs, AR 71901-7759

Mailing address

389 Lake Hamilton Dr
A14
Hot Springs, AR 71913-6899
Phone (501) 551-1195

Other identifiers 1

IdentifierTypeStateIssuer
189687001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111012000345 AR Practitioner - Orthopedic Surgery 7315119591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone (479) 709-6700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement23
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)16
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E7244ARMDOrthopaedic Surgery Physician
KY44444KYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities Orthopaedic Surgery CurrentSince Mar 1, 2014 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Mar 1, 2014 Accepting new patients
Mercy Hospital Fort Smith Past Accepting new patients
Mercy Clinic Fort Smith Communities Past Accepting new patients

Locations

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

Interoperability endpoints

  • Direct secure messaging: tjohnson461805@directb.mercy.net
  • Direct secure messaging: tjohnson471471@directc.mercy.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1588820864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 LAKE HAMILTON DR",
            "address_2": "A14",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136899",
            "telephone_number": "501-551-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MALVERN AVE",
            "address_2": "SUITE 301",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017759",
            "telephone_number": "501-321-0555",
            "fax_number": "501-623-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRENT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "KY44444",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E7244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189687001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.