JEFFREY DALE JOHNSON (NPI# 1114927266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114927266 |
| Entity Type | Individual |
| Full Name | JEFFREY DALE JOHNSON |
| Credential | DO |
| Practice Address |
3817 S Padre Island Dr Corpus Christi TX 78415-2913 |
| Mailing Address |
919 Hidden Rdg Irving TX 75038-3813 |
| Practice Telephone | 3618570178 |
| Practice Fax Number | 3618554123 |
| Mailing Telephone | 4692822711 |
| Mailing Fax Number | 4692822609 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2017-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J8607 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 136441611 | 05 | |
| TX | 160908301-1364416-10 | 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 |
3817 S PADRE ISLAND DR |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78415-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033510847 | Bernadette Vela | Nurse Practitioner | 3817 S Padre Island Dr, Corpus Christi, TX 78415-2913 | 2014-09-11 |
| 1124316674 | Robert Goodman | Physician Assistant | 3817 S Padre Island Dr, Corpus Christi, TX 78415-2913 | 2011-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639702236 | The Landing At Corpus Christi | Residential Treatment Facility, Emotionally Disturbed Children | 2058 Fm 665, Corpus Christi, TX 78415 | 2020-02-21 |
| 1578093506 | Texas Wellness Center of Corpus Christi Pllc | Chiropractor | 6122 Kostoryz Road, 102, Corpus Christi, TX 78415 | 2017-06-13 |
| 1740574300 | William Lee Townsend | Technician, Other | 2910 South Padre Island Drive, Corpus Christi, TX 78415 | 2011-06-01 |
| 1144523671 | Coastal Bend Wellness Foundation Inc | Case Manager/Care Coordinator | 2882 Holly Rd., Corpus Christi, TX 78415 | 2010-12-06 |
| 1528230422 | True Medical Imaging | Clinic/Center | 3502 Spid, Corpus Christi, TX 78415 | 2008-03-31 |
| 1396949152 | Medical Specialist Group Pa | Physical Medicine & Rehabilitation | 3434 Saratoga Boulevard, Corpus Christi, TX 78415 | 2007-06-13 |
| 1396809158 | Access Rehab & Mobility LLC | Durable Medical Equipment & Medical Supplies | 4531 Ayers St, Suite 304, Corpus Christi, TX 78415 | 2006-12-19 |
| 1912065954 | Jorge S Rodriguez | Legal Medicine | 3845 Spid, Corpus Christi, TX 78415 | 2006-12-04 |
| 1407920200 | Charles Albert Votzmeyer Jr. | Chiropractor | 3434 Saratoga 102, Corpus Christi, TX 78415 | 2006-11-20 |
| 1144390899 | American Habilitation Services Inc | Intermediate Care Facility, Mentally Retarded | 3031 Mcardle, Corpus Christi, TX 78415 | 2006-11-09 |
| Find all providers in zip 78415 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737158 | Christopher Lawrence Dematt | Family Medicine | 14254 S Padre Island Dr, Corpus Christi, TX 78418-6277 | 2020-07-15 |
| 1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
| 1669997953 | Keeps Medical Group, P.a. | Family Medicine | 13715 Hillwood Trl, Corpus Christi, TX 78410-4802 | 2017-08-07 |
| 1407376429 | Jessica L Six | Family Medicine | 1025 Morgan Ave, Corpus Christi, TX 78404-2041 | 2017-06-21 |
| 1568829778 | Salang Health Solutions LLC | Family Medicine | 4833 S Staples St Unit B, Corpus Christi, TX 78411-2609 | 2016-01-19 |
| 1124401088 | Jonathan Dancel | Family Medicine | 7218 S Padre Island Dr, Apt 38c, Corpus Christi, TX 78412-4332 | 2015-07-09 |
| 1114314119 | Shery Malaty | Family Medicine | 2606 Hospital Blvd 5 West, Corpus Christi, TX 78405 | 2015-04-17 |
| 1437400058 | Physicians Express Pllc | Family Medicine | 4929 Burney Dr Ste 120, Corpus Christi, TX 78411-2708 | 2012-09-21 |
| 1740557552 | Myriah Willborn | Family Medicine | 5802 Saratoga Blvd Ste 150, Corpus Christi, TX 78414-4254 | 2011-11-22 |
| 1639408974 | Coastal Bend Primary Care Corp | Family Medicine | 4621 S Staples, Suite A, Corpus Christi, TX 78411-2605 | 2009-12-16 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78415 |
Please comment or provide details below to improve the information on JEFFREY DALE 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.