JAY D. JOHNSON (NPI# 1023171071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023171071 |
| Entity Type | Individual |
| Full Name | JAY D. JOHNSON |
| Credential | D.O. |
| Practice Address |
3801 Lake Otis Pkwy Ste 200 Anchorage AK 99508-5234 |
| Practice Telephone | 9072126900 |
| Mailing Telephone | 9072126900 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
4028 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200001850A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265626006 | Jay Thomas Johnson | Emergency Medicine | 642 S 2nd St, Apt 1003, Louisville, KY 40202-2433 | 2007-09-05 |
| 1457570319 | Jay A Johnson | Dentist | 3220 North Bronco St, Suite 102, Las Vegas, NV 89108-4863 | 2007-04-25 |
| 1104970052 | Jay D. Johnson | Optometrist | 1120 Rambling Oaks Drive, Norman, OK 73072 | 2007-01-22 |
| 1851302210 | Jay B Johnson | Dentist | 7520 Bierstadt Hts, Suite 125, Peyton, CO 80831-6174 | 2006-08-11 |
| 1043224264 | Jay Kevin Johnson | Psychiatry & Neurology | 7134 S Yale Ave Ste 450, Tulsa, OK 74136-6380 | 2006-07-27 |
| 1457952913 | Jay Kimberly Johnson | Pharmacist | 221 W Parrish Ln, Centerville, UT 84014-1829 | 2020-11-02 |
| 1053939652 | Jay Johnson | Behavior Technician | 4952 Warner Ave Ste 300, Huntington Beach, CA 92649-5506 | 2020-07-09 |
| 1205251709 | Jay Johnson | Registered Nurse | 6400 Uptown Blvd Ne, Ste 360w, Albuquerque, NM 87110-4204 | 2014-02-20 |
| 1679760219 | Jay W Johnson | Chiropractor | 1208 Washington Ave, Detroit Lakes, MN 56501-3906 | 2007-09-27 |
| 1932308418 | Jay K Johnson | Physician Assistant | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-07-13 |
| Street Address |
3801 LAKE OTIS PKWY STE 200 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790710606 | Lucy Ljubicich Curtiss | Psychiatry & Neurology | 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5234 | 2006-07-11 |
| 1932373263 | Gail J Gladle | Counselor | 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5234 | 2008-04-17 |
| 1336313667 | Kenneth W Holmes | Counselor | 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5234 | 2008-04-17 |
| 1912171240 | Daniel J Marman | Marriage & Family Therapist | 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5234 | 2008-04-17 |
| 1184725285 | Stephanie Joy Birdsall | Social Worker | 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5234 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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. |
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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.