JOHNSON DERMATOLOGY - NPI 1437110962 - Dermatology in Fort Smith, AR

Q: What is Johnson Dermatology Clinic PLLC's NPI number?

The NPI number for Johnson Dermatology Clinic PLLC is 1437110962. It was assigned to this organization in the NPPES registry on April 2, 2006. The provider is doing business as Johnson Dermatology.

Q: What is Johnson Dermatology Clinic PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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About Johnson Dermatology NPPES

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

JOHNSON DERMATOLOGY (NPI 1437110962) is a healthcare organization registered as a dermatology in Fort Smith, Arkansas and active in the NPI registry since April 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 18, 2027, maintains a secondary practice location in Alma, and lists Sandra Marchese Johnson, General Manager, as its authorized official.

NPPES Registry Identity

NPI1437110962

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameJOHNSON DERMATOLOGY CLINIC PLLC

Location Address5921 RILEY PARK DRFort Smith, AR 72916-6103

Mailing Address5921 Riley Park DrFort Smith, AR 72916-6103 · (479) 649-3376 · Fax (479) 646-0133

Phone(479) 649-3376

Fax(479) 646-0133

Organization SubpartNo

Authorized OfficialSandra Marchese JohnsonGeneral Manager · (479) 649-3376

Enumeration DateApril 2, 2006

Last NPPES UpdateAugust 31, 2023

NPPES CertifiedAugust 30, 2023

✔ NPI 1437110962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in AR · MC-2480

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X

Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

5921 RILEY PARK DR, Fort Smith, AR 72916

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Other Names 1

Doing Business AsJohnson Dermatology

Secondary Practice Location 1

Location 1195 highway 64 eastAlma, AR 72921 · Phone (479) 649-3376

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 04D1052897

Johnson Dermatology Clinic, PLLC · Fort Smith, AR

Active · expires Jun 18, 2027

CLIA Number04D1052897

Laboratory TypePhysician Office

Certificate Effective DateJune 19, 2025

Certificate Expiration DateJune 18, 2027

Laboratory DirectorDr. Amy R. Hudson

Laboratory Phone(479) 649-3376

Laboratory LocationJohnson Dermatology Clinic, PLLC5921 Riley Park Drive, Fort Smith, AR 72916

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA JONES MELTZER M.D.

Dermatology