MR. WARREN C JOHNSON (NPI# 1134168925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134168925 |
| Entity Type | Individual |
| Full Name | MR. WARREN C JOHNSON |
| Credential | M.D., PH.D. |
| Practice Address |
11209 N Tatum Blvd Suite 180 Phoenix AZ 85028-3091 |
| Practice Telephone | 6024945155 |
| Practice Fax Number | 6024945115 |
| Mailing Telephone | 6024945155 |
| Mailing Fax Number | 6024945115 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23569 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881230084 | Warren Johnson | Technician | 1932 Linda Ln, Jackson, MS 39213-4447 | 2019-11-22 |
| 1265987010 | Warren Johnson Jr. | Counselor | 130 Maxie St, Grambling, LA 71245-3036 | 2016-08-22 |
| 1538595103 | Warren Evan Johnson | General Practice | 16013 Purcellville Rd, Purcellville, VA 20132-2801 | 2013-09-16 |
| 1558521682 | Warren Philip Johnson | Emergency Medicine | Weed Army Community Hospital Bldg 166, Fort Irwin, CA 92310 | 2008-06-12 |
| 1942398227 | Warren D Johnson | Internal Medicine | International Health Care Service, 440 East 69th Street, New York, NY 10021 | 2006-10-11 |
| 1154424588 | Warren C. Johnson | Dentist | 2424 Puritan St, Detroit, MI 48238-1490 | 2006-09-07 |
| 1417050832 | Warren Dwight Johnson | Dentist | 422 Heritage Place, Faribault, MN 55021 | 2006-09-07 |
| 1750390142 | Warren Johnson | Podiatrist | 6305 Elysian Fields Ave, 204, New Orleans, LA 70122-4245 | 2006-08-05 |
| 1457381279 | Warren Thomas Johnson | Family Medicine | 70 S 20th Ave, Suite H, Brighton, CO 80601-3703 | 2006-07-04 |
| 1225000540 | Warren S Johnson | Optometrist | 428 Perkins Ext, Memphis, TN 38117 | 2006-02-02 |
| Street Address |
11209 N TATUM BLVD SUITE 180 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-3091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011713 | Thomas W Bauch | Family Medicine | 11209 N Tatum Blvd, 175, Phoenix, AZ 85028-3091 | 2005-08-29 |
| 1750837050 | Jennifer Billiard | Social Worker | 11209 N Tatum Blvd, #260, Phoenix, AZ 85028-6025 | 2016-08-28 |
| 1063861060 | Matthew Wisehart | Physical Therapist | 11209 N Tatum Blvd, Ste B-120, Phoenix, AZ 85028-3091 | 2016-06-09 |
| 1861862989 | Jennifer Anne Billingsley | Nurse Practitioner | 11209 N Tatum Blvd, Suite 255, Phoenix, AZ 85028 | 2015-10-01 |
| 1467876524 | Melisa Ann Curry | Physical Therapist | 11209 N Tatum Blvd, Ste B-120, Phoenix, AZ 85028-3091 | 2014-02-10 |
| 1114267887 | Allison M Gaylor | Nurse Practitioner | 11209 N Tatum Blvd, Suite 180, Phoenix, AZ 85028-3091 | 2013-02-18 |
| 1598011785 | Jessica Lynn Giddings | Nurse Practitioner | 11209 N Tatum Blvd, Suite 260, Phoenix, AZ 85028-3091 | 2012-07-25 |
| 1518119692 | Joanne L Schlesinger | Nurse Practitioner | 11209 N Tatum Blvd, Suite 260, Phoenix, AZ 85028-3091 | 2008-10-21 |
| 1295984987 | Sonya A Bladow | Chiropractor | 11209 N Tatum Blvd, Ste 140, Phoenix, AZ 85028-3091 | 2008-09-17 |
| 1114182888 | Rakesh Kumar Bagai | Internal Medicine | 11209 N Tatum Blvd, #260, Phoenix, AZ 85028-3091 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| 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 |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
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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.