MS. DEWAYNE JERRELL JOHNSON
NPI 1306526686
Specialist/Technologist, Other - Surgical Assistant in Florissant, MO

Active since July 20, 2023
1640 EMERALD CREEK DR, FLORISSANT, MO 63031(314) 283-2067 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Dewayne Jerrell Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DEWAYNE JERRELL JOHNSON (NPI 1306526686) is an individual surgical assistant in Florissant, Missouri and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1306526686
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMS. DEWAYNE JERRELL JOHNSON
Location Address1640 EMERALD CREEK DRFlorissant, MO 63031-2046
Mailing Address1640 Emerald Creek DrFlorissant, MO 63031-2046 · (314) 283-2067
Sole ProprietorYes
Enumeration DateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
NPI 1306526686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
1640 EMERALD CREEK DR, Florissant, MO 63031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dewayne Johnson's NPI number?

The NPI number for Dewayne Johnson is 1306526686. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Dewayne Johnson located?

Dewayne Johnson practices at 1640 Emerald Creek Dr, Florissant, MO 63031. The listed phone number is (314) 283-2067.

What is Dewayne Johnson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Dewayne Johnson was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.