TIMOTHY SHANE JOHNSON (NPI# 1144245911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144245911 |
| Entity Type | Individual |
| Full Name | TIMOTHY SHANE JOHNSON |
| Other Name | T SHANE JOHNSON |
| Credential | M.D. |
| Practice Address |
30 Hope Dr Ste 1860 Hershey PA 17033-2036 |
| Mailing Address |
Po Box 858 Mc A410 Hershey PA 17033-0858 |
| Practice Telephone | 7175318952 |
| Practice Fax Number | 7175310098 |
| Mailing Telephone | 8002431455 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD424449 | PA | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
MD424449 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1016969880001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 University Dr, Hershey, PA 170332360 | 8002431455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992363089 | Timothy Harold Johnson | Registered Nurse | 9209 Seminole Blvd Unit 209, Seminole, FL 33772-3142 | 2019-06-03 |
| 1689139354 | Timothy Edward Johnson | Behavioral Analyst | 1075 N Main Street, Chelsea, MI 48118 | 2019-02-06 |
| 1942721600 | Timothy Byron Johnson | Dentist | 510 N Dacie Pt, Lecanto, FL 34461-8398 | 2017-07-03 |
| 1598208944 | Timothy M Johnson | Contractor | 2637 Pine Tree Dr, Miramar, FL 33023 | 2016-12-02 |
| 1982085247 | Timothy Brian Johnson | Obstetrics & Gynecology | 9730 S Western Ave Ste 100, Evergreen Park, IL 60805-2853 | 2015-06-12 |
| 1942618574 | Timothy Johnson | Pharmacist | 350 Moapa Valley Boulevard, Overton, NV 89040 | 2014-07-28 |
| 1487999033 | Timothy Johnson | Hearing Instrument Specialist | 920 N Telshor Blvd Ste A, Las Cruces, NM 88011-8279 | 2012-12-10 |
| 1649555392 | Timothy Bogart Johnson | Counselor | 3785 E Sunset Rd Ste 10, Las Vegas, NV 89120-6260 | 2011-10-13 |
| 1548578248 | Timothy Leroy Johnson | Marriage & Family Therapist | 3650 S Pointe Cir Ste 208, Laughlin, NV 89029 | 2010-09-16 |
| 1437463742 | Timothy Lee Johnson | Counselor | 3100 Rhett Ct, Charlotte, NC 28273-3660 | 2010-07-28 |
| Street Address |
30 HOPE DR STE 1860 |
| City | HERSHEY |
| State | PA |
| Zip Code | 17033-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518942010 | Thomas D Samson | Plastic Surgery | 30 Hope Dr Ste 1860, Hershey, PA 17033-2036 | 2005-12-07 |
| 1992180160 | Haunna Christina Birdsey | Physician Assistant | 30 Hope Dr Ste 1860, Hershey, PA 17033-2036 | 2015-07-29 |
| 1184680621 | Donald R Mackay | Surgery | 30 Hope Dr Ste 1860, Hershey, PA 17033 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891264578 | Sherpa Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 20 Briarcrest Square, Suite 207, Hershey, PA 17033 | 2018-11-25 |
| 1366933186 | Benjamin Abney | General Practice | Hershey Medical Center, 500 University Drive, Hershey, PA 17033 | 2018-05-29 |
| 1174014062 | Sean Nutting | Student in an Organized Health Care Education/Training Program | 500 University Dr Dept Of, Hershey, PA 17033 | 2018-05-25 |
| 1447751144 | Elizabeth Ashley Lohman | Specialist/Technologist | 665 Brook Drive, Hershey, PA 17033 | 2018-02-27 |
| 1376056382 | Yilmarie Mercado Vargas | Student in an Organized Health Care Education/Training Program | Penn State Health Milton Hershey Medical Center, 500 University Dr, Hershey, PA 17033 | 2017-11-13 |
| 1730603440 | Aleksandr Sviatchenko | Student in an Organized Health Care Education/Training Program | Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa, PA 17033 | 2017-08-03 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1649706649 | Natalia Katarzyna Pierwola-gawin | Physical Therapist | 500 University Dr. Mc A410, Hershey, PA 17033 | 2017-05-11 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1437505096 | Lynnlee Christine Depicolzuane | Pediatrics | 600 University Drive, Hershey, PA 17033 | 2016-05-12 |
| Find all providers in zip 17033 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1518942010 | Thomas D Samson | Plastic Surgery | 30 Hope Dr Ste 1860, Hershey, PA 17033-2036 | 2005-12-07 |
| 1386803658 | John Michael Ingraham | Plastic Surgery | 500 University Dr, Mch071, Hershey, PA 17033-2360 | 2008-06-03 |
| 1699989012 | Dino Ravnic | Plastic Surgery | 500 University Dr, H071, Hershey, PA 17033-2360 | 2007-05-09 |
| 1841402963 | Cathy Henry | Plastic Surgery | 500 University Dr, Hershey, PA 17033-2360 | 2007-05-03 |
| 1548391980 | Rogerio I Neves | Plastic Surgery | 500 University Dr, Hershey, PA 17033-2360 | 2007-03-08 |
| 1801852348 | Randy M Hauck | Plastic Surgery | 30 Hope Dr Ste 2400, Hershey, PA 17033-2036 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588298418 | Grunwaldt Falbo Pllc | Plastic Surgery | 873 Bebout Rd, Venetia, PA 15367-1215 | 2020-03-01 |
| 1528606654 | Everest Medspa LLC | Plastic Surgery | 6787 Market St Ste 106, Upper Darby, PA 19082-1848 | 2019-12-19 |
| 1851939771 | Ericka Culp | Plastic Surgery | 5750 Centre Ave Ste 360, Pittsburgh, PA 15206-3761 | 2019-12-11 |
| 1346742871 | Andrea Kristin Chamberlain | Plastic Surgery | 1614 Washington Rd, Pittsburgh, PA 15241-1210 | 2018-02-28 |
| 1205348141 | Kp Aesthetics, LLC. | Plastic Surgery | 4675 W Chester Pike, Newtown Square, PA 19073-2227 | 2017-11-01 |
| 1346765229 | Denise M. Kenna, M.d. | Plastic Surgery | 2350 Freedom Way Ste 107, York, PA 17402-8200 | 2017-08-11 |
| 1467973305 | Hr Physician Services | Plastic Surgery | 3300 Tillman Dr Ste 201, Bensalem, PA 19020-2071 | 2017-06-30 |
| 1295116473 | Shagun Aggarwal | Plastic Surgery | 3400 Civic Center Blvd Fl 7, Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA 19104-5163 | 2015-06-14 |
| 1598152852 | Brenton Robinson | Plastic Surgery | 3550 Terrace Street Scaife Hall Suite 668, Pittsburgh, PA 15261-5640 | 2015-04-23 |
| 1285023952 | Re-nova Plastic Surgery Associates, L.L.C. | Plastic Surgery | 1000 Stonewood Dr Ste 320, Wexford, PA 15090-8386 | 2015-01-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TIMOTHY SHANE 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.