THE DR ROY JOHNSON MEDICAL CENTER INC (NPI# 1093708240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093708240 |
| Entity Type | Organization |
| Organization Name | THE DR ROY JOHNSON MEDICAL CENTER INC |
| Practice Address |
40 N Florissant Rd Ferguson MO 63135-2332 |
| Practice Telephone | 3145211302 |
| Practice Fax Number | 3145215120 |
| Mailing Telephone | 3145211302 |
| Mailing Fax Number | 3145215120 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DONALD A BLUM (PHYSICIAN PRESIDENT) |
| Authorized Official Telephone | 3145211302 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
40 N FLORISSANT RD |
| City | FERGUSON |
| State | MO |
| Zip Code | 63135-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811997414 | Donald Allen Blum | Internal Medicine | 40 N Florissant Rd, Ferguson, MO 63135-2332 | 2005-07-26 |
| 1457351264 | Chukiat Tansuwan | Internal Medicine | 40 N Florissant Rd, Ferguson, MO 63135-2332 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487147559 | Rising Star Home Health Care LLC | Home Health | 1578 Knollstone Dr, Ferguson, MO 63135 | 2018-06-12 |
| 1396265617 | Rosemark Care LLC | In Home Supportive Care | 1212 Hudson Hills, Saint Louis, MO 63135 | 2017-06-27 |
| 1881066074 | Grandma's Hands In-home Services LLC | In Home Supportive Care | 119 Church Street Suite 121, Ferguson, MO 63135 | 2015-10-27 |
| 1518364983 | Rescued Home Health Svc Inc | Home Health | 1438 Chambers Rd, St Louis, MO 63135 | 2014-12-01 |
| 1164860375 | Let's Talk Teen Clinic Inc. | Clinic/Center | 119 Church Street, Suite 131, Ferguson, MO 63135 | 2013-06-10 |
| 1003169657 | Robyn L. Lawrence Dc, PC | Chiropractor | 111 Church St., Suite 111, Ferguson, MO 63135 | 2012-10-19 |
| 1528343308 | Bryan Victor Schneider | Pharmacist | 190 North Florrisant Rd, Ferguson, MO 63135 | 2011-10-12 |
| 1336457845 | The Sanctuary Adult Program, LLC | Nursing Care | 1440 Chambers Rd, Saint Louis, MO 63135 | 2010-09-17 |
| 1265639090 | Lrt Professional Health Services Inc | Home Health | 602 Hunters Ridge Dr, Ferguson, MO 63135 | 2007-06-27 |
| 1225160146 | Easter Seals Midwest | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 303 Calverton Road, St. Louis, MO 63135 | 2007-03-09 |
| Find all providers in zip 63135 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1366947400 | Midwest Physicians Group | Internal Medicine | 119 Church St Ste 135, Ferguson, MO 63135-2459 | 2018-03-29 |
| 1306880091 | Thomas Keith Mcmahan | Internal Medicine | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2006-06-15 |
| 1811997414 | Donald Allen Blum | Internal Medicine | 40 N Florissant Rd, Ferguson, MO 63135-2332 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925537 | Jill Bryant | Internal Medicine | 2615 E 15th St, Joplin, MO 64804-1006 | 2020-09-02 |
| 1699385757 | Mark Steven Routburg | Internal Medicine | 509 Sgt Pepper Dr, Saint Peters, MO 63376-2441 | 2020-08-04 |
| 1063020626 | Mazin Hazim Kamil | Internal Medicine | 15 Remington Place Ct, Ballwin, MO 63021-6369 | 2020-07-20 |
| 1740808815 | Thai Quoc Nguyen | Internal Medicine | University Hospital Ma421 Med Sciences Bldg, Columbia, MO 65212-0001 | 2020-07-06 |
| 1649898784 | Peter Egwom | Internal Medicine | University Hospital One Hospital Drive Dc.043.00, Columbia, MO 65212-0001 | 2020-07-06 |
| 1851918346 | Maxwell Isaac | Internal Medicine | University Hospital 1 Hospital Drive Dc 043.00, Columbia, MO 65212-0001 | 2020-06-30 |
| 1285251983 | Shannon Ejiofor | Internal Medicine | University Hospital One Hospital Drive Dc043.00, Columbia, MO 65212-0001 | 2020-06-29 |
| 1336766278 | Jordan Stauffer | Internal Medicine | University Hospital One Hospital Dr, Columbia, MO 65212-0001 | 2020-06-26 |
| 1972120814 | Pak Ho Au | Internal Medicine | University Hospital One Hospital Dr Dc043.00, Columbia, MO 65212-0001 | 2020-06-26 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 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.