MR. JEFFREY A JOHNSON (NPI# 1114914702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114914702 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY A JOHNSON |
| Credential | LCPO |
| Practice Address |
919 W Main St Walla Walla WA 99362-2746 |
| Mailing Address |
Po Box 662 Walla Walla WA 99362-0016 |
| Practice Telephone | 5095258322 |
| Practice Fax Number | 5092522982 |
| Mailing Telephone | 5095258322 |
| Mailing Fax Number | 5095252982 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2008-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
PS00000038 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9035353 | 05 | |
| OR | 164988 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114570652 | Jeffrey C. Johnson | Dentist | 250 Route 4 Ste 101, Hagatna, GU 96910-7110 | 2019-07-23 |
| 1144725391 | Jeffrey Phillip Johnson | Speech-Language Pathologist | 635 Commonwealth Ave Rm 326, Boston, MA 02215-1605 | 2018-03-29 |
| 1730684903 | Jeffrey Pace Johnson | Student in an Organized Health Care Education/Training Program | 750 E Adams St Rm 1816, Syracuse, NY 13210-2306 | 2018-03-28 |
| 1992256374 | Jeffrey S. Johnson | Counselor | 108 Okemos St, Mason, MI 48854-1263 | 2016-10-20 |
| 1598156713 | Jeffrey Johnson | Counselor | 3057 Acushnet Ave, New Bedford, MA 02745-3636 | 2015-02-10 |
| 1336542885 | Jeffrey Johnson | Physical Therapy Assistant | 563 S Grant St, Denver, CO 80209-4105 | 2014-09-29 |
| 1992110894 | Jeffrey Johnson | Dentist | 2120 Virginia Dr, Wichita Falls, TX 76309-4646 | 2014-06-30 |
| 1093125916 | Jeffrey William Johnson | Psychologist | 105 High Street, Warren, OH 44483-5195 | 2014-04-30 |
| 1922373851 | Jeffrey A. Johnson | Social Worker | 28 Roe Ln, Howell, NJ 07731-9071 | 2012-03-10 |
| 1962776039 | Jeffrey Johnson | Veterinarian | 1405 Bradford Way, Redding, CA 96003-4074 | 2012-03-06 |
| Street Address |
919 W MAIN ST |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629301619 | Columbia Basin Prosthetics & Orthotics, Inc | Prosthetic/Orthotic Supplier | 919 W Main St, Walla Walla, WA 99362-2746 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713823 | Mara Palmer | Specialist | 351 Strander Blvd # 36, Tukwila, WA 98188-2916 | 2019-01-07 |
| 1528555695 | Bobby J Mcdowell-carter | Specialist | 5110 19th Ave S, Seattle, WA 98108-1950 | 2018-04-15 |
| 1093223752 | Miranda Ortiz | Specialist | 60138a Floyd Ave, Joint Base Lewis Mcchord, WA 98433-1591 | 2018-01-16 |
| 1518237890 | Cedar Budinger | Specialist | 7746 18th Ave Ne, Seattle, WA 98115-4426 | 2012-01-04 |
| 1013980820 | Center for Prosthetics Orthotics, Inc. | Specialist | 1231 116th Ave Ne Ste 725, Suite 725, Bellevue, WA 98004-3804 | 2006-02-10 |
| 1619964566 | Patrice Lynn Holland | Specialist | 2124 Ne Goldenrod Ave, Bremerton, WA 98311-3914 | 2005-10-05 |
| 1396749990 | Center for Prosthetics Orthotics, Inc. | Specialist | 411 12th Ave, Seattle, WA 98122-5577 | 2005-06-10 |
| 1902458821 | Kierra Jean Falbo | Specialist | 501 Eastlake Ave E Ste 300, Seattle, WA 98109-5546 | 2019-07-11 |
| 1336548403 | Christopher Allen Fuhrmeister | Specialist | 2621 Ne 134th St Ste 120, Vancouver, WA 98686-3036 | 2014-08-14 |
| 1376801746 | Catherine Joanne Hammack | Specialist | 1360 N Louisiana St, Suite D, Kennewick, WA 99336-7171 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
Please comment or provide details below to improve the information on MR. JEFFREY A JOHNSON.
| 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.