Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry Dean Johnson, PA

Individual provider Physician Assistant · NPI 1205970365

Larry Dean Johnson, PA is a Physician Assistant in Branson, Missouri. Licensed in Arkansas and Missouri. Registered with an NPI since 2007.

Licensed in
AR, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone: (417) 348-8646
Fax: (417) 335-7529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2018044339 (MO)
Physician Assistant Taxonomy 363A00000X · Licence PA-263 (AR)

Record details

NPI number1205970365
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 20, 2007
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021
Mailing addressPo Box 802843, Kansas City, MO 64180-2843

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