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

Mr. Benjamin Douglas Johnson, PA-C, RTR

Individual provider Diagnostic Radiology Physician · NPI 1821516345

Mr. Benjamin Douglas Johnson, PA-C, RTR is a Physician Assistant in Fairbanks, Alaska. Qualified in 2018, 8 years ago. Practices with Radiology Consultants a Professional Corp, an 11-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
8
Licensed in
AK
In the registry since
2017
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1650 Cowles St
Fairbanks, AK 99701-5907
Phone: (907) 458-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Practitioner Assistant (primary) Taxonomy 243U00000X · Licence 138210 (AK)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 138210 (AK)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 1760938021 (AK)
Therapeutic Radiology Physician Taxonomy 2085R0203X · Licence 138210 (AK)

Record details

NPI number1821516345
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , RTR
Sole proprietorNo
NPI enumeratedSeptember 5, 2017
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Radiology Consultants A Professional Corp — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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