DR. GLENN DWIGHT JOHNSON (NPI# 1063441434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063441434 |
| Entity Type | Individual |
| Full Name | DR. GLENN DWIGHT JOHNSON |
| Credential | M.D. |
| Practice Address |
Dartmouth-hitchcock Medical Center One Medical Center Drive Lebanon NH 03756-0001 |
| Practice Telephone | 6036508124 |
| Practice Fax Number | 6036507898 |
| Mailing Telephone | 6036508124 |
| Mailing Fax Number | 6036507898 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
6028 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0006900 | 05 | |
| NH | 00000094 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003093683 | Glenn A. Johnson | Physical Therapist | 808 E Justin Dr, Sioux Falls, SD 57108-4646 | 2008-01-26 |
| 1225235997 | Glenn Edwin Johnson | Chiropractor | 1665 S Brookhurst St, Suite J, Anaheim, CA 92804-6000 | 2007-06-27 |
| 1417950569 | Glenn Ray Johnson | Orthopaedic Surgery | 901 Montgomery St, Decorah, IA 52101-2325 | 2005-05-23 |
| 1710391719 | Glenn Johnson | Psychologist | 118 Maupin Cir, Shelbyville, TN 37160-3781 | 2014-06-17 |
| 1710249255 | Glenn Phelps Johnson Jr. | Counselor | 137 N Cottonwood St, Suite 1530, Woodland, CA 95695-6646 | 2012-06-11 |
| 1942480306 | Glenn A Johnson | Chiropractor | 500 9th Ave, Suite 5, Longmont, CO 80501-4598 | 2007-11-13 |
| 1609909829 | Glenn Roger Johnson | Psychologist | 256 Concord Ave, Cambridge, MA 02138-1337 | 2007-03-14 |
| 1265583751 | Glenn D Johnson | Chiropractor | 10321 Kingston Pike, Knoxville, TN 37922-3224 | 2007-01-13 |
| 1508958281 | Glenn Everett Johnson | Dentist | 2478 Patterson Road, Suite 24, Grand Junction, CO 81505 | 2006-09-29 |
| 1710929765 | Glenn Albert Johnson | Speech-Language Pathologist | 2611 Ne 125th St, Suite 225, Seattle, WA 98125-4373 | 2006-06-12 |
| Street Address |
DARTMOUTH-HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE |
| City | LEBANON |
| State | NH |
| Zip Code | 03756-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588285571 | Gunnar Andresson | Student in an Organized Health Care Education/Training Program | Dartmouth-hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756 | 2020-04-30 |
| 1841493889 | Marva Williams-lowe | Pharmacist | Dartmouth-hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 | 2007-06-07 |
| 1851517585 | Geoffrey Robert Sinner | Psychiatry & Neurology | Dartmouth-hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756-0001 | 2007-04-18 |
| 1285709329 | John Edward Sutton Jr. | Surgery | Dartmouth-hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756 | 2006-11-22 |
| 1104916014 | Edward Jonathan Merrens | Internal Medicine | Dartmouth-hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756-0001 | 2006-10-13 |
| 1730284522 | J Jordan Romano | Internal Medicine | Dartmouth-hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756-0001 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
| Find all providers in zip 03756 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740205962 | Daniel H Morrison Jr. | Otolaryngology | 60 Commercial St Ste 401, Concord, NH 03301-5096 | 2006-07-12 |
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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.