Eric Darren Johnson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2009006934 Issued in MO

Practice address

1101 Hospital Dr
Columbia, MO 65212-0001

Phone

(573) 882-8788

Fax

(573) 882-3131

NPI assigned

May 21, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Hospitalmd of Troy Ip, Inc.

  • Hospitalist Physician
  • Troy, MO
  • NPI 1548582778
  NPD (past)
• Hospitalmd of Troy, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Troy, MO
  • NPI 1558683789
  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1902031834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7687",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652057687",
            "telephone_number": "573-882-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "573-882-8788",
            "fax_number": "573-882-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "DARREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2009006934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Irene Johnson, LCSW
• Carla Denise Johnson, FNP-BC
• Daphany D Johnson, LPN
• Dennis L. Johnson, M.D.
• Emma E Johnson, PLPC
• Garry A Johnson, MD
• Harold Albert Johnson, MD
• Hayden Otto Johnson
• Jeremy C Johnson, D.O.
• John Anthony Johnson, DDS

• Medical Physician Assistant in Columbia, MO
• Providers in Columbia, MO by specialty
• Medical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.