BETH BROADWAY JOHNSON (NPI# 1093010837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093010837 |
| Entity Type | Individual |
| Full Name | BETH BROADWAY JOHNSON |
| Credential | P.A. |
| Practice Address |
801 Princeton Ave Sw Suite 707 Birmingham AL 35211-1310 |
| Practice Telephone | 2057804330 |
| Practice Fax Number | 2057807775 |
| Mailing Telephone | 2057804330 |
| Mailing Fax Number | 2057807775 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023597093 | Beth Ann Johnson | Nurse Practitioner | 7922 Ewing Halsell Dr Ste 120, San Antonio, TX 78229-3786 | 2018-08-10 |
| 1063422681 | Beth M Johnson | Chiropractor | 419 Broadway St, Lincoln, IL 62656-2019 | 2006-08-08 |
| 1396769683 | Beth A. Johnson | Pediatrics | 3333 Burnet Avenue Ml 7009, Cincinnati, OH 45229-3026 | 2006-07-27 |
| 1811925613 | Beth A Johnson | Psychologist | 161 W Wisconsin Ave, Pewaukee, WI 53072-3467 | 2006-06-29 |
| 1912556952 | Beth Laurie Johnson | Social Worker | 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433-2583 | 2019-09-11 |
| 1417424946 | Beth Johnson | Occupational Therapist | 3430 Burnet Ave # Mlc4007, Cincinnati, OH 45229-2833 | 2018-11-02 |
| 1285149666 | Beth E Johnson | Speech-Language Pathologist | 1664 N Virginia St, Ms-0152, Reno, NV 89557-0152 | 2017-12-07 |
| 1205353604 | Beth Johnson | Counselor | 753 Maleta Ln Ste 204, Castle Rock, CO 80108-7609 | 2017-08-25 |
| 1962945915 | Beth A Johnson | Social Worker | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2016-11-23 |
| 1932563566 | Beth Johnson | Family Medicine | 1455 Main St Ste 100, Windsor, CO 80550-5559 | 2016-04-10 |
| Street Address |
801 PRINCETON AVE SW SUITE 707 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932106895 | Edwin L Kelsey | Physical Medicine & Rehabilitation | 801 Princeton Ave Sw, Pob I Suite 201, Birmingham, AL 35211-1310 | 2005-07-06 |
| 1770012437 | Katelyn Griffin | Physician Assistant | 801 Princeton Ave Sw, Birmingham, AL 35211-1310 | 2017-06-07 |
| 1700274214 | Haynes Neurosurgica Group | Nurse Practitioner | 801 Princeton Ave Sw, Suite 310, Birmingham, AL 35211-1310 | 2015-01-06 |
| 1700150513 | Jacqueline B. Lewis, Md, PC | Surgery | 801 Princeton Ave Sw, Suite 108, Birmingham, AL 35211-1310 | 2012-02-27 |
| 1639467582 | Orthosports Associates, LLC | Orthopaedic Surgery | 801 Princeton Ave Sw, Pob I; Suite 710, Birmingham, AL 35211-1310 | 2011-07-13 |
| 1336446145 | West Neuropsychology, LLC | Clinic/Center | 801 Princeton Ave Sw, Professional Office Building I, Suite 205, Birmingham, AL 35211-1310 | 2011-02-15 |
| 1194031161 | Princeton Sleep Medicine, LLC | Internal Medicine | 801 Princeton Ave Sw, Pob I; Suite 332, Birmingham, AL 35211-1310 | 2010-08-27 |
| 1962642835 | Deanna G Frank | Registered Nurse | 801 Princeton Ave Sw, Suite 707, Birmingham, AL 35211-1310 | 2009-03-04 |
| 1740429356 | Laurie Danielle Ward | Physician Assistant | 801 Princeton Ave Sw, Suite707, Birmingham, AL 35211 | 2009-02-05 |
| 1558540864 | Hutton P. Brantley | Internal Medicine | 801 Princeton Ave Sw, Suite 707, Birmingham, AL 35211-1310 | 2007-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679295 | Maltiece O'neal El | Physician Assistant | 1331 14th Ave S Apt 12, Birmingham, AL 35205-5341 | 2020-11-02 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1437769981 | Kelsey Marie Robinson | Physician Assistant | 2400 Mahaska Dr, Birmingham, AL 35244-2241 | 2020-08-08 |
| 1508475740 | Stephanie Joseph Gilkey | Physician Assistant | 1505 Pleasant Ct, Birmingham, MI 48009-2909 | 2020-07-23 |
| 1619591922 | Alec Weil | Physician Assistant | 1400 19th St S, Birmingham, AL 35205-4903 | 2020-06-02 |
| 1689293888 | Molly Lynn Miller | Physician Assistant | 619 19th St S Fl 6, Birmingham, AL 35249-1900 | 2020-04-09 |
| 1730712571 | Emily Fallon Wilson | Physician Assistant | 3686 Grandview Pkwy Ste 530, Birmingham, AL 35243-3405 | 2020-02-20 |
| 1538791074 | Caroline Garrison Inge | Physician Assistant | 2700 10th Ave S Ste 505, Birmingham, AL 35205-1250 | 2020-02-11 |
| 1770114274 | Christopher Hopfner | Physician Assistant | 1809 Haynes St, Birmingham, MI 48009-6822 | 2020-02-03 |
| 1821550815 | Rebecca Brajak | Physician Assistant | 48 Medical Park Dr E Ste 150, Birmingham, AL 35235-3456 | 2019-04-01 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
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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.