DR. SOREN MORGAN JOHNSON (NPI# 1003182015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003182015 |
| Entity Type | Individual |
| Full Name | DR. SOREN MORGAN JOHNSON |
| Credential | M.D. |
| Practice Address |
1350 Whitaker Ridge Dr Winston Salem NC 27106-4966 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367188000 |
| Practice Fax Number | 3367188011 |
| Mailing Telephone | 3367188000 |
| Mailing Fax Number | 3367188011 |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2015-00508 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134441256 | Soren A Johnson | Licensed Practical Nurse | 3878 Bliss Rd, Morrisville, NY 13408-2218 | 2010-02-16 |
| Street Address |
1350 WHITAKER RIDGE DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-4966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013991066 | David Scott Anderson | Pediatrics | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2005-12-02 |
| 1619599198 | Novant Medical Group, Inc. | Pediatrics | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2020-05-07 |
| 1578086179 | Alyssa Basen Light | Physician Assistant | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 | 2017-07-25 |
| 1710345533 | Julie Lorraine Saul | Registered Nurse | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2016-02-08 |
| 1134515596 | Novant Medical Group, Inc. | Psychiatry & Neurology | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2015-04-13 |
| 1689078032 | Danielle Nicole Harper | Counselor | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2014-10-14 |
| 1548516594 | Amanda Valentine | Registered Nurse | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2012-07-27 |
| 1255697744 | Cashe C Emory | Nurse Practitioner | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 | 2012-04-09 |
| 1972886273 | Bethany Sellers Goodman | Nurse Practitioner | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 | 2011-09-22 |
| 1245545300 | Forsyth Medical Group, LLC | Pediatrics | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2010-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609223601 | Ashmitha Raja | Pediatrics | Medical Centre Blvd, Winston Salem, NC 27157-0001 | 2016-05-19 |
| 1598128050 | Rebecca Palmer | Pediatrics | Brenner Childrens Hospital 300 Medical Blvd, Dept of Pediatrics, Winston Salem, NC 27157-0001 | 2016-04-01 |
| 1396131157 | Sarah Barnes Bingham | Pediatrics | One Medical Center Boulevard Emergency Medicine, Winston Salem, NC 27157 | 2015-04-08 |
| 1841685849 | Anna Hang Verenes | Pediatrics | Wake Forest Baptist Health Pediatrics, Medical Center Blvd, Winston Salem, NC 27157 | 2015-04-06 |
| 1568875227 | Kimberly Myers | Pediatrics | Wake Forest Baptist Medical, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2014-06-10 |
| 1760700736 | Jennifer Mickle Cooper | Pediatrics | 2295 E 14th St Ste 100, Winston Salem, NC 27105-6804 | 2010-05-14 |
| 1215179700 | Cyndy Edwards Lively | Pediatrics | 1417 Brookstown Ave, Winston Salem, NC 27101-1126 | 2009-03-30 |
| 1205003274 | Bahar Emily Esmaili | Pediatrics | Wake Forest University Baptist Hospital, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-05-09 |
| 1922274240 | Mdfamily Medical Group | Pediatrics | 138 S Cherry St, Winston Salem, NC 27101-5272 | 2008-05-06 |
| 1083714364 | Lia Simpson Erickson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2006-09-25 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.