DR. KATHERINE MIRRO JOHNSON (NPI# 1083888937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083888937 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE MIRRO JOHNSON |
| Other Name | MISS KATHERINE MARIE MIRRO |
| Credential | D.O. |
| Practice Address |
3885 Upham St Suite 200 Wheat Ridge CO 80033-4880 |
| Mailing Address |
Po Box 1449 Wheat Ridge CO 80034-1449 |
| Practice Telephone | 3034259245 |
| Practice Fax Number | 3034251378 |
| Mailing Telephone | 3034259245 |
| Mailing Fax Number | 3034251378 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
53932 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447738232 | Katherine Johnson | Behavioral Analyst | 1000 Sunnyside Ave Bldg Room4001, Lawrence, KS 66045-6521 | 2018-08-02 |
| 1255857496 | Katherine Johnson | Pharmacist | 1501 N Campbell Ave Pharmacy Services Box 245009, Tucson, AZ 85724-0001 | 2017-08-18 |
| 1497279137 | Katherine Ryan Johnson | Nurse Practitioner | 1532 Robert E. Lee Blvd, New Orleans, LA 70122 | 2017-08-02 |
| 1699220707 | Katherine Anne Williams Johnson | Nurse Practitioner | 947 Scotland Dr, Suite #107, Desoto, TX 75115-2090 | 2016-08-18 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| 1407279300 | Katherine Johnson | Pharmacist | 6388 W Pontiac Dr, Glendale, AZ 85308-6666 | 2014-01-28 |
| 1962830166 | Katherine Eileen Johnson | Occupational Therapist | 2932 N Damen Ave, Apartment 2, Chicago, IL 60618-8206 | 2013-10-24 |
| 1821436981 | Katherine Jo Johnson | Veterinarian | 5624 State Route 5, Herkimer, NY 13350-3513 | 2013-06-11 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1205101110 | Katherine Wood Johnson | Nurse Practitioner | 4805 Columbia Pike, Thompsons Station, TN 37179-5207 | 2012-03-12 |
| Street Address |
3885 UPHAM ST SUITE 200 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-4880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504314 | Geoffery W.p. Clover | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2005-08-09 |
| 1285197962 | Thomas Sec | Nurse Practitioner | 3885 Upham St, Wheat Ridge, CO 80033-4880 | 2019-04-10 |
| 1881100394 | Amber R Mcdonald | Social Worker | 3885 Upham St, Wheat Ridge, CO 80033-4880 | 2017-12-19 |
| 1780855247 | Laura O'bryan Coster | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2008-03-12 |
| 1629273321 | Amber Marie Noon | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2007-06-20 |
| 1154464766 | Brent Wieland | Internal Medicine | 3885 Upham St, Ste 200, Wheat Ridge, CO 80033-4880 | 2007-02-14 |
| 1063578516 | Sonali Hemachandra | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2006-12-29 |
| 1598828949 | Western Infectious Disease Consultants, P.C. | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2006-12-18 |
| 1649333006 | Western Infectious Disease Infusion Center, Inc | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2006-12-18 |
| 1821191305 | Jeffrey A Desjardin | Internal Medicine | 3885 Upham St, Ste 200, Wheat Ridge, CO 80033 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194763086 | Marinka Kartalija | Internal Medicine | 3885 Upham St Ste 200, Wheat Ridge, CO 80033-4800 | 2006-06-03 |
| 1063775005 | Teresa Cushman | Internal Medicine | 3885 Upham St Ste 200, Wheat Ridge, CO 80033 | 2012-06-22 |
| 1780855247 | Laura O'bryan Coster | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2008-03-12 |
| 1154464766 | Brent Wieland | Internal Medicine | 3885 Upham St, Ste 200, Wheat Ridge, CO 80033-4880 | 2007-02-14 |
| 1063578516 | Sonali Hemachandra | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2006-12-29 |
| 1598828949 | Western Infectious Disease Consultants, P.C. | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2006-12-18 |
| 1649333006 | Western Infectious Disease Infusion Center, Inc | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2006-12-18 |
| 1821191305 | Jeffrey A Desjardin | Internal Medicine | 3885 Upham St, Ste 200, Wheat Ridge, CO 80033 | 2006-09-07 |
| 1033211990 | Norman K Fujita | Internal Medicine | 3885 Upham St, Ste 200, Wheat Ridge, CO 80033 | 2006-09-02 |
| 1417914540 | Charlotte L Ellenbogen | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2006-05-01 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on DR. KATHERINE MIRRO JOHNSON.
| 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.