ROBERT G JOHNSON (NPI# 1114021722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114021722 |
| Entity Type | Individual |
| Full Name | ROBERT G JOHNSON |
| Credential | MD |
| Practice Address |
3603 Bienville Blvd Suite 103 Ocean Springs MS 39564-5727 |
| Mailing Address |
3535 Bienville Blvd Provider Enrollment Ocean Springs MS 39564-5705 |
| Practice Telephone | 2287623000 |
| Practice Fax Number | 2288184151 |
| Mailing Telephone | 2287623000 |
| Mailing Fax Number | 2288184151 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2015-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1999138149 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774690 | Robert T Johnson | Massage Therapist | 4717 W 160th St, Lawndale, CA 90260-2505 | 2020-09-14 |
| 1053945352 | Robert Leroy Johnson | Technician | 29 Tucker Rd, Hardy, AR 72542-9115 | 2020-02-25 |
| 1205467206 | Robert L Johnson | Counselor | 403 Best Friends Turn Aly, Mcdonough, GA 30252-4844 | 2020-01-28 |
| 1548808439 | Robert Mathew Johnson | Nurse Practitioner | 4898 Erin Ln, Melbourne, FL 32940-7156 | 2019-12-11 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1942770060 | Robert Terry Johnson | Behavior Technician | 6591 Reflection Dr, San Diego, CA 92124-3119 | 2018-12-01 |
| 1992280135 | Robert Johnson | Home Health | 3550 Minnesota Ave Se, Washington, DC 20019-8215 | 2018-10-02 |
| 1154825503 | Robert Edward Johnson IIi | Student in an Organized Health Care Education/Training Program | University of Washington, Department of Oral Surgery, 1959 Ne Pacific Street, Seattle, WA 98105 | 2018-03-21 |
| 1932625704 | Robert Johnson | Driver | 101 Joanis Dr, Danville, VA 24540-5855 | 2017-08-14 |
| 1326580986 | Robert Alan Johnson | Counselor | 5920 Se Coyote Dr, Topeka, KS 66619-1429 | 2016-11-14 |
| Street Address |
3603 BIENVILLE BLVD SUITE 103 |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39564-5727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720514649 | Kacee Ward | Speech-Language Pathologist | 3603 Bienville Blvd, Suite 200, Ocean Springs, MS 39564-5727 | 2017-05-11 |
| 1982062170 | Jamie Damico | Nurse Practitioner | 3603 Bienville Blvd, Suite 102, Ocean Springs, MS 39564-5727 | 2016-02-03 |
| 1750621900 | Amity Mcdonald Thompson | Nurse Practitioner | 3603 Bienville Blvd, Suite 103, Ocean Springs, MS 39564-5727 | 2013-02-26 |
| 1598002685 | Rebecca Jane Oliver | Physical Therapist | 3603 Bienville Blvd, Suite 200, Ocean Springs, MS 39564-5702 | 2013-01-09 |
| 1760796148 | Lisa Nicole Slawson | Nurse Practitioner | 3603 Bienville Blvd, Ocean Springs, MS 39564-5702 | 2010-07-28 |
| 1669501680 | Richard Jason Ardoin | Physician Assistant | 3603 Bienville Blvd, Suite 103, Ocean Springs, MS 39564-5727 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
| 1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
| 1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1386016749 | L. Randy Buntyn, D.m.d., Pllc | Dentist | 1203 Government St., Ocean Springs, MS 39564 | 2015-10-26 |
| 1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
| 1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
| 1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
| 1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
| Find all providers in zip 39564 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740203199 | Hazem Barmada | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1155 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588939581 | William Lawson Safley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11078 Channelside Dr, Gulfport, MS 39503-6049 | 2012-03-09 |
| 1932400769 | Stewart Allen Nutting | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6716 Alewa Pl, Diamondhead, MS 39525-3429 | 2010-11-10 |
| 1922285378 | Coast Cardiothoracic Surgery, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1308 44th Ave, Gulfport, MS 39501-2552 | 2008-01-29 |
| 1407072747 | Robert P. N. Shearin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 308 Hillchase Dr, Madison, MS 39110-8841 | 2007-04-17 |
| 1467571430 | Delta Physician Practices | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1202 Hospital St, Greenville, MS 38703-3213 | 2007-03-28 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| 1114036290 | David A Geer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1400 20th Ave, Suite F, Meridian, MS 39301-4111 | 2006-08-30 |
| 1477560050 | James C Gilmore | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 Alcorn Dr Ste 200, Corinth, MS 38834-9323 | 2006-08-03 |
| 1609876739 | Clyde Maxwell Hutchinson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 Alcorn Dr, Suite 200, Corinth, MS 38834-9321 | 2005-07-29 |
| 1629078746 | David Smith Talton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 830 S Gloster St, Nmmc East Tower 4th Floor, Tupelo, MS 38801-4934 | 2005-07-29 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
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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.