DEBORAH M JOHNSON (NPI# 1053494294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053494294 |
Entity Type | Individual |
Full Name | DEBORAH M JOHNSON |
Credential | MD |
Practice Address |
1395 Liberty St Se Salem OR 97302-4276 |
Practice Telephone | 5035859695 |
Practice Fax Number | 5035813960 |
Mailing Telephone | 5035859695 |
Mailing Fax Number | 5035813960 |
Enumeration Date | 2006-10-23 |
Last Update Date | 2015-06-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD16845 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 022538 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407467731 | Deborah Johnson | Technician | 623 2nd St, Martinsburg, WV 25404-4546 | 2020-08-11 |
1861000135 | Deborah L Johnson | Nurse Practitioner | 2 Mcgregor Pl, Johnson City, TN 37604-1454 | 2020-07-22 |
1194289025 | Deborah B Johnson | Social Worker | 4700 N State Road 7 Ste 208, Lauderdale Lakes, FL 33319-5804 | 2019-01-24 |
1063876365 | Deborah Johnson | Registered Nurse | 5401 Rusty Anchor Ct, Las Vegas, NV 89130-1547 | 2016-04-12 |
1538520853 | Deborah Johnson | Home Health Aide | 8555 Rodebaugh Rd, Reynoldsburg, OH 43068-9792 | 2016-03-14 |
1336505130 | Deborah Johnson | Speech-Language Pathologist | 7963 Little Creek Hwy, Dublin, VA 24084-7401 | 2016-01-08 |
1154791671 | Deborah Lyn Johnson | Registered Nurse | 912 S Jefferson St, Batavia, IL 60510-3038 | 2015-09-26 |
1558750950 | Deborah Smith Johnson | Nurse Practitioner | 927 East Blvd., Southeast Anesthesiology Consultants, Charlotte, NC 28203 | 2015-01-22 |
1407108699 | Deborah Lynn Johnson | Student in an Organized Health Care Education/Training Program | 1900 Mansfield Lucas Road, Mansfield, OH 44903-8688 | 2012-10-11 |
1487901062 | Deborah Anita Johnson | Pharmacist | 91-2117 Kaioli St, Apt. 2703, Ewa Beach, HI 96706-6192 | 2012-08-13 |
Street Address |
1395 LIBERTY ST SE |
City | SALEM |
State | OR |
Zip Code | 97302-4276 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760415202 | Salem Womens Clinic, Inc | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2006-07-08 |
1134616022 | Brms LLC | Naturopath | 1395 Liberty St Se, Salem, OR 97302-4276 | 2018-04-17 |
1801230776 | Salem Wellness Clinic | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2013-04-23 |
1114292034 | Deborah M Johnson Md PC | Clinic/Center | 1395 Liberty St Se, Salem, OR 97302-4276 | 2012-03-09 |
1194911032 | Donna Jean Niemela | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2007-09-24 |
1881618163 | Mary L. Henderson | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4273 | 2006-07-27 |
1316971955 | Patricia M. Mcbride | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4273 | 2006-07-10 |
1487688396 | Elizebeth R. Harmon | Obstetrics & Gynecology | 1395 Liberty St Se, Salem, OR 97302-4276 | 2006-07-10 |
1588698187 | Katherine Ellen S. Davidson | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
Find all providers in zip 97302 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
1033113055 | Jonathan Edward Pugmire | Obstetrics & Gynecology | 633 Jason St Ne, Salem, OR 97301-2750 | 2005-06-08 |
1114921103 | Duane Gary Beard | Obstetrics & Gynecology | 700 Bellevue St Se, #245, Salem, OR 97301-3891 | 2005-06-08 |
1184917775 | Andrea Chisholm Md LLC | Obstetrics & Gynecology | 55 Highland Ave Ste 103, Salem, MA 01970-2100 | 2011-05-16 |
1124151287 | Shuja U Saleem | Obstetrics & Gynecology | 31 Stiles Rd, Suite 2100, Salem, NH 03079-2897 | 2007-03-14 |
1912937228 | Sara E Perez-torres | Obstetrics & Gynecology | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-07-03 |
1134108756 | Mark Gustafson | Obstetrics & Gynecology | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2006-01-12 |
1891774451 | George Maxymiv | Obstetrics & Gynecology | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2006-01-12 |
1407833346 | Michael Andrew Murphy | Obstetrics & Gynecology | 875 Oak St Se, Suite 5090, Salem, OR 97301-3975 | 2005-12-30 |
1184601593 | Thomas A Kahan | Obstetrics & Gynecology | 700 Bellevue St Se, Ste 245, Salem, OR 97301-3891 | 2005-12-28 |
Find all providers in SALEM |
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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.