SUSAN RIDEOUT JOHNSON (NPI# 1083828297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083828297 |
| Entity Type | Individual |
| Full Name | SUSAN RIDEOUT JOHNSON |
| Credential | MD |
| Practice Address |
54 West Grass Valley Street Colfax CA 95713-9463 |
| Mailing Address |
Po Box 1621 54 W Grass Valley St Colfax CA 95713-9463 |
| Practice Telephone | 9166388758 |
| Mailing Telephone | 9166388758 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
G59919 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254357 | Susan Violet Johnson | Technician | 28 Sites Dr, Ridgeley, WV 26753-1800 | 2020-08-05 |
| 1093291569 | Susan Patricia Johnson | Behavior Technician | 2062 Brookside Ln, Aurora, IL 60502-1369 | 2018-07-17 |
| 1396233094 | Susan Johnson | Advanced Practice Midwife | 2851 New Hartford Rd Ste B, Owensboro, KY 42303-1320 | 2018-04-27 |
| 1629579842 | Susan Raye Johnson | Licensed Vocational Nurse | 303 W Martin Ave, Comanche, TX 76442-1661 | 2018-02-22 |
| 1366986986 | Susan Jean Johnson | Licensed Practical Nurse | 900 Owen Walters Blvd, Salina, OK 74365 | 2016-12-16 |
| 1386186518 | Susan Lynn Johnson | Pharmacist | 740 S Limestone St J134, Lexington, KY 40536-0001 | 2016-11-04 |
| 1235683889 | Susan Ly Johnson | Optometrist | 124 E Bandera Rd Ste 403, Boerne, TX 78006-2849 | 2016-08-12 |
| 1205212347 | Susan Johnson | Home Health Aide | 13045 Stamford Ave, Warren, MI 48089-1350 | 2015-07-30 |
| 1346625480 | Susan Johnson | Massage Therapist | 1340 Boylston St Fl 3, Fenwy Health, Boston, MA 02215-4302 | 2015-07-29 |
| 1790173698 | Susan Johnson | Licensed Practical Nurse | 2697 Hillside Heights Dr, Green Bay, WI 54311-6774 | 2014-12-30 |
| Street Address |
54 WEST GRASS VALLEY STREET |
| City | COLFAX |
| State | CA |
| Zip Code | 95713-9463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319695 | Mountain Side Behavioral Health | Counselor | 1033 South Drive, Colfax, CA 95713 | 2020-06-08 |
| 1518262898 | Colfax Drug Company, LLC | Pharmacist | 9 Depot St. #5, Colfax, CA 95713 | 2011-01-19 |
| 1174774178 | Laurie E. Thompson | Counselor | 500 Crown Point Cir. Ste 100, Grass Valley, CA 95713 | 2008-10-08 |
| 1669588091 | Paula Suzanne Dwelly | Marriage & Family Therapist | 21520 Canyon Way, Colfax, CA 95713 | 2006-08-21 |
| 1396779930 | Kurtis H Fox | Family Medicine | 101 W. Grass Valley St, Colfax, CA 95713 | 2006-07-10 |
| 1700858743 | Ryan Grandpre | Dentist | 120 Whitcomb Ave, Colfax, CA 95713 | 2006-02-03 |
| 1952851701 | Ruth Ross | Registered Nurse | 21475 Canyon Way, Colfax, CA 95713-0001 | 2016-10-05 |
| 1649485145 | Danny E Zendner | Dentist | 120 Whitcomb Ave, Colfax, CA 95713-1080 | 2007-05-10 |
| 1891900312 | Chad Eric Jensen | Dentist | 120 Whitcomb Ave, Colfax, CA 95713-1080 | 2007-05-10 |
| 1760600035 | Dawn M Anderson | Dentist | 33 E. Grass Valley St., Colfax, CA 95713-1300 | 2007-04-23 |
| Find all providers in zip 95713 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601222 | Development Support Services | Pediatrics | 43218 Business Park Dr Ste 203, Temecula, CA 92590-3601 | 2020-05-19 |
| 1922659804 | Trenna Sutcliffe Md, Apc | Pediatrics | 851 Fremont Ave Ste 110, Los Altos, CA 94024-5602 | 2019-09-23 |
| 1295117299 | Inland Faculty Specialists, A California Professional Corporation | Pediatrics | 4153 Rubidoux Ave, Riverside, CA 92506-1717 | 2015-06-25 |
| 1891181129 | Albert C. Fremont | Pediatrics | 1405 University Ave, Palo Alto, CA 94301-2245 | 2015-04-14 |
| 1184047722 | Hooi Hoon Yeap | Pediatrics | 820 Elgin St, San Lorenzo, CA 94580-1264 | 2014-02-03 |
| 1558608331 | Melissa Harada | Pediatrics | 3782 W Martin Luther King Jr Blvd, Los Angeles, CA 90008-1703 | 2013-01-14 |
| 1417227554 | New Age Enterprises | Pediatrics | 7320 Firestone Blvd Ste 105, Downey, CA 90241-4159 | 2012-01-06 |
| 1225342215 | Robert E Nopar | Pediatrics | 1900 E Los Angeles Ave, Simi Valley, CA 93065-6560 | 2010-08-02 |
| 1134383243 | Marianna Eraklis | Pediatrics | One Camino Sobrante, Suite 208, Orinda, CA 94563 | 2008-07-17 |
| 1982806170 | Jennifer Kit-lam Leung | Pediatrics | 2967 Michelson Dr Ste G, Pmb131, Irvine, CA 92612-8801 | 2007-06-01 |
| Find all providers with the same taxonomy | ||||
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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.