KEITH P, JOHNSON, M.D., PLLC


Address: 314 W 14th St, 6th Floor, New York, NY 10014-5002
Phone: 2126200159

KEITH P, JOHNSON, M.D., PLLC (NPI# 1093196719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093196719
Entity Type Organization
Organization Name KEITH P, JOHNSON, M.D., PLLC
Practice Address 314 W 14th St
6th Floor
New York
NY 10014-5002
Practice Telephone 2126200159
Practice Fax Number 9173883379
Mailing Telephone 2126200159
Mailing Fax Number 9173883379
Enumeration Date 2015-06-18
Last Update Date 2015-06-18
Authorized Official Name DR. KEITH P JOHNSON (CEO)
Authorized Official Telephone 9178413931
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
211734 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 314 W 14TH ST
6TH FLOOR
City NEW YORK
State NY
Zip Code 10014-5002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942299920 John Vincent Dellosso Internal Medicine 314 W 14th St, 1st Floor, New York, NY 10014-5002 2005-10-21
1932533726 Chelsea Collaborative Medical Care, Pllc Internal Medicine 314 W 14th St, 5th Floor, New York, NY 10014-5002 2013-08-28
1225306509 Ignatius A Gbaduo Nurse Practitioner 314 W 14th St, Fl 1, New York, NY 10014-5002 2011-12-01
1053692251 Chelsea Village Podiatry PC Podiatrist 314 W 14th St, 6th Floor, New York, NY 10014-5002 2011-08-31
1699053108 Samantha E Fleischman Massage Therapist 314 W 14th St, New York, NY 10014-5002 2011-08-01
1124320056 Gotham Medical Group LLP Internal Medicine 314 W 14th St, 5th Floor, New York, NY 10014-5002 2010-11-29
1497064125 Greenwich Village Gyn, P.C. Clinic/Center 314 W 14th St, 4th Floor, New York, NY 10014-5002 2010-09-29
1467786756 Nadege M Coupet M.d. P.C. Internal Medicine 314 W 14th St, New York, NY 10014-5002 2009-09-21
1184869620 Anne Miller Nurse Practitioner 314 W 14th St, New York, NY 10014-5002 2008-12-12
1477720084 Village Primary Care LLP Internal Medicine 314 W 14th St, 6 Floor, New York, NY 10014-5002 2008-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972142446 Marco A Campello Physical Therapist 63 Downing Street, New York, NY 10014 2020-01-02
1093271710 Little Smiles Pediatric Dentistry, Pllc Dentist 535 Hudson Street 1c, Apt #3g, New York, NY 10014 2019-02-19
1528539525 David R Schoenberger Psychoanalyst 27 West 12th Street, Apt 1-c, New York, NY 10014 2018-12-17
1932670270 Paul Scoles Orthopaedic Surgery 27o W 11th, 6f, New York, NY 10014 2018-12-16
1831633965 Carol Bonhomme Speech-Language Pathologist 250 West Houston Street, 721m, New York, NY 10014 2016-12-08
1346783016 Dawn Julie Adamousky Speech-Language Pathologist 450 Hudson Street, New York, NY 10014 2016-11-29
1578922472 Samriti Goyal Dentist 44 Perry St Apt 5r, New York, NY 10014 2016-02-19
1255734471 Chavie E Lichtenberg Counselor 165 Christopher St Apt 4n, New York, NY 10014 2014-10-01
1699015180 Meghan C Ward Counselor 27 Christopher Street, New York, NY 10014 2013-02-21
1730467739 Rosy Charles Licensed Practical Nurse 201 Varick Street, New York, NY 10014 2011-07-26
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609421122 Mulchandani Medical Pllc Orthopaedic Surgery 139 Centre St Lbby Suite102, New York, NY 10013-4552 2019-08-02
1578046421 Djf Orthopedics and Sports Medicine Orthopaedic Surgery 165 W End Ave Apt 28p, New York, NY 10023-5516 2018-09-06
1467872879 Spencer Matthew Stein Orthopaedic Surgery 530 E 23rd St Apt 7f, New York, NY 10010-5030 2014-04-24
1235574435 Stephanie Swensen Buza Orthopaedic Surgery 541 E 71st St, New York, NY 10021-4871 2013-05-02
1225271711 J.l.glashow M.d.,p.c. Orthopaedic Surgery 737 Park Ave Ste 1c, New York, NY 10021-4256 2009-04-13
1255594230 Alexis Chiang Colvin Orthopaedic Surgery 5 E. 98th St, Box 1188, New York, NY 10029 2008-07-09
1649354903 Srino Bharam Md PC Orthopaedic Surgery 130 E. 77th St, 8 Fl Black Hall, New York, NY 10075 2006-10-24
1194816876 Jerry Lubliner Orthopaedic Surgery 215 E 73rd St, Suite 3c, New York, NY 10021-3653 2006-09-27
1609834753 Orrin Howard Sherman Orthopaedic Surgery 145 E. 32 Street, 4 Th Floor, New York, NY 10016-6055 2006-05-01
1275510182 John Douglad Macgillivray Orthopaedic Surgery 523 E 72nd St, New York, NY 10021-4099 2005-12-30
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City NEW YORK
Zip Code 10014

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Dataset Information

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.

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