| Dr Dalton Johnson, DNP | |
|
4800 E Johnson Ave, Jonesboro, AR 72405-8413 | |
| (870) 936-1000 | |
| Not Available |
| Full Name | Dr Dalton Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4800 E Johnson Ave, Jonesboro, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568203362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 120871 (Arkansas) | Primary |
| Entity Name | Lifelinc Anesthesia V, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dalton Johnson, DNP 805 N 72nd Cv, Paragould, AR 72450-8364 Ph: (573) 479-8850 | Dr Dalton Johnson, DNP 4800 E Johnson Ave, Jonesboro, AR 72405-8413 Ph: (870) 936-1000 |
Lauren Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3024 Stadium Blvd, Jonesboro, AR 72401 Phone: 501-227-0700 Fax: 501-227-0744 | |
James M Glisson, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-6396 Fax: 870-935-4063 | |
Mrs. Megan Renee Harrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100 | |
Mr. Terry Mitchel Hughes Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 909 Enterprise Dr, Jonesboro, AR 72401 Phone: 870-336-1100 Fax: 870-336-1134 | |
Paul S Blumreich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3024 Stadium Blvd, Jonesboro, AR 72401 Phone: 501-227-0700 Fax: 501-227-0744 | |
Edmund Carmack, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-932-4211 Fax: 870-931-9141 | |
Amber Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100 |