Eddie Lee Johnson Jr. is a Charleston, West Virginia based nurse anesthetist with 22 years of experience as Nurse Anesthetist. He completed he graduation in 2003. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Eddie Lee Johnson Jr. is 290824 for Anesthesia Administration in North Carolina. his current practice location is 3200 Maccorkle Ave Se, Charleston. Patients can reach him at 304-388-4077 or can fax him at 304-388-9852. Eddie Lee Johnson Jr. is CRNA with specialization in Nurse Anesthetist and he NPI number (Unique professional ID assigned by NPPES) is 1548369929. Eddie Lee Johnson Jr. is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Eddie Lee Johnson Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
CRNA
Experience:
22+ years
Medical School Attended:
Other
Graduation Year:
2003
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
3200 Maccorkle Ave Se, Charleston, West Virginia, 25304
Phone:
304-388-4077
Fax:
304-388-9852
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4587550520
Enrollment ID:
I20181219003480
NPI Number:
1548369929
NPI Enumeration Date:
21 Sep, 2006
NPI Last Update On:
17 Mar, 2021
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eddie Lee Johnson Jr. are as mentioned below.
License Number
Specialization
State
Status
290824
Anesthesia Administration
North Carolina
Primary
54873
Registered Nurse
West Virginia
Secondary
70139
Anesthesia Administration
West Virginia
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
New Hanover Regional Medical Center (340141)
Wilmington, NC
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Eddie Lee Johnson Jr. has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Novant Health New Hanover Regional Medical Center Llc (7113330168)
95
Other Medical Identifiers:
Other legacy medical identifiers associated with Eddie Lee Johnson Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00116681
Other
West Virginia
MEDICARE RR
2603380000
Medicaid
West Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
833 Saunders St, St Albans, West Virginia
Zip:
25177
Phone Number:
304-546-4189
Fax Number:
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Patients can reach Eddie Lee Johnson Jr. at 3200 Maccorkle Ave Se, Charleston, West Virginia or can call to book an appointment on 304-388-4077.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.