Trenton Ryan Johnson
Trenton Ryan Johnson is a Physician Assistant in Clendenin, West Virginia. Qualified in 2021, 5 years ago. Practices with Cabin Creek Health Center Inc, a 45-clinician group and accepts Medicare assignment. Licensed in West Virginia.
- Years since qualifying
- 5
- Licensed in
- WV
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
107 Koontz Ave Ste 200Clendenin, WV 25045-9581
Phone: (304) 548-7272
Fax: (304) 542-7149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2508 (WV) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1831798321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 26, 2020 |
| Last updated in NPPES | February 26, 2022 |
| Certification date | February 26, 2022 |
| Mailing address | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Cabin Creek Health Center Inc — 45 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Clendenin
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Chelsea Agnew, PA
107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 · (304) 548-7272
-
Mary E Grandon, PA-C
107 Koontz Ave Ste 200, Clendenin, WV 25045 · (304) 548-7272
-
MS. Jennifer Lynn Thayer, PA-C
107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 · (304) 548-7272