DR. KEVIN R JOHNSON (NPI# 1114120896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114120896 |
| Entity Type | Individual |
| Full Name | DR. KEVIN R JOHNSON |
| Credential | DO |
| Practice Address |
1111 E Mcdowell Rd Phoenix AZ 85006-2612 |
| Mailing Address |
Po Box 64568 Phoenix AZ 85082-4568 |
| Practice Telephone | 6028396968 |
| Practice Fax Number | 6028394144 |
| Mailing Telephone | 4803747352 |
| Mailing Fax Number | 4804219899 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2015-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
005192 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912463704 | Kevin Johnson | Chiropractor | 2601 E Chapman Ave Ste 214, Fullerton, CA 92831-3737 | 2019-02-16 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1205384955 | Kevin Johnson Jr. | Community Health Worker | 1261 Roslyn Ave, Akron, OH 44320-3424 | 2016-09-12 |
| 1073949400 | Kevin William Johnson | Counselor | 1147 16th St N, St Petersburg, FL 33705-1104 | 2013-09-17 |
| 1669752200 | Kevin L Johnson | Pharmacist | 2600 S 48th St, Lincoln, NE 68506-2502 | 2011-08-26 |
| 1346536463 | Kevin Charles Johnson | Pharmacist | 747 Highway 259 North, Kilgore, TX 75662-5175 | 2011-06-27 |
| 1770806374 | Kevin Neil Johnson | Physical Medicine & Rehabilitation | 9913 214th St W Ste B, Lakeville, MN 55044-1914 | 2010-03-10 |
| 1326280991 | Kevin Anthony Johnson | Family Medicine | 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 | 2009-03-29 |
| 1558566588 | Kevin Charles Johnson | Speech-Language Pathologist | 8620 Holly Dr, Suite 230, Everett, WA 98208-1825 | 2007-06-19 |
| Street Address |
1111 E MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334785 | Todd Brian Taylor | Emergency Medicine | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2005-05-30 |
| 1912507609 | Kelsey Arndt | Dietitian, Registered | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-10-30 |
| 1518567403 | Emily Truex | Nurse Practitioner | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-10-29 |
| 1306445002 | Sina Lee Heller | Registered Nurse | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-10-22 |
| 1215549985 | Aishwarya Puri | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-08-23 |
| 1437761038 | Lee Daniel Reeves-blurton | Registered Nurse | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-08-17 |
| 1295358414 | Shaida Omid | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-05-21 |
| 1831712157 | Hija Mae Bautista | Nurse Practitioner | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-05-20 |
| 1164042206 | Arati Babaria Pandya | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-04-18 |
| 1275153595 | Chirag Vinay Kapadia | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679354 | Arizona Hospitalists, Pllc | Emergency Medicine | 10255 N 43rd St, Phoenix, AZ 85028-4108 | 2020-08-14 |
| 1477641991 | Lincoln Physician Billing, LLC | Emergency Medicine | 2500 W Utopia Rd Ste 100, Phoenix, AZ 85027-4172 | 2006-10-10 |
| 1114400637 | Quanika Shuntaaye Simpson-jackson | Emergency Medicine | 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677 | 2018-09-11 |
| 1255845517 | Kristina Yvonne Keilson | Emergency Medicine | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2017-11-24 |
| 1932466331 | Mark R Engelman | Emergency Medicine | 4400 N 32nd St, Ste #150, Phoenix, AZ 85018-3953 | 2012-04-23 |
| 1225311871 | Acute Care Surgical Specialists, LLC | Emergency Medicine | 9250 N 3rd St, Suite 3015, Phoenix, AZ 85020-2437 | 2011-09-20 |
| 1386935013 | Bryan Heidrich | Emergency Medicine | 2601 E Roosevelt St, Department of Emergency Medicine, Phoenix, AZ 85008-4973 | 2011-04-28 |
| 1073847695 | Christopher Quinn May | Emergency Medicine | 2601 E Roosevelt St, Department of Emergency Medicine, Phoenix, AZ 85008-4973 | 2009-09-29 |
| 1003065004 | Joel Philip Betz | Emergency Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2008-09-15 |
| 1982863429 | Ian James Thomas | Emergency Medicine | 9250 N 3rd St, Suite 3015, Phoenix, AZ 85020-2437 | 2008-06-09 |
| Find all providers in PHOENIX | ||||
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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.