CAROLYN K JOHNSON (NPI# 1174562920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174562920 |
| Entity Type | Individual |
| Full Name | CAROLYN K JOHNSON |
| Credential | M.D. |
| Practice Address |
550 N Hillside St Wichita KS 67214-4910 |
| Practice Telephone | 3169628580 |
| Practice Fax Number | 3169628581 |
| Mailing Telephone | 3169628580 |
| Mailing Fax Number | 3169628581 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
19228 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918235 | Carolyn Ann Johnson | Counselor | 15362 E 12th St, Tulsa, OK 74108-4710 | 2020-10-01 |
| 1174171003 | Carolyn Elizabeth Johnson | Speech-Language Pathologist | 12375 Aden Rd, Nokesville, VA 20181-2320 | 2019-09-04 |
| 1013565183 | Carolyn Lee Johnson | Nurse's Aide | 166b Smokey Rdg, Onalaska, WA 98570-9452 | 2019-08-30 |
| 1114482569 | Carolyn Johnson | Nurse Practitioner | 13462 Hwy 110 N, Tyler, TX 75704-2444 | 2019-02-08 |
| 1669975587 | Carolyn S Johnson | Registered Nurse | 1027 French Rd, Indianola, MS 38751-9605 | 2018-03-16 |
| 1093215543 | Carolyn Johnson | Licensed Vocational Nurse | 2310 Buck Dr, Tyler, TX 75701-2406 | 2018-02-20 |
| 1043763485 | Carolyn Johnson | Occupational Therapist | 9241 Vendome Dr, Bethesda, MD 20817-4029 | 2016-08-02 |
| 1780097873 | Carolyn Johnson | Home Health Aide | 113 Stone Dr, Anderson, SC 29625-2710 | 2014-06-05 |
| 1124392410 | Carolyn Amanda Johnson | Licensed Practical Nurse | 422 E 35th St, Brooklyn, NY 11203-5010 | 2012-03-03 |
| 1912282153 | Carolyn J Johnson | Pharmacist | 3184 London Rd, Eau Claire, WI 54701 | 2011-10-19 |
| Street Address |
550 N HILLSIDE ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-4910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586570 | Debra D Hermes | Physician Assistant | 550 N Hillside St, Wichita, KS 67214-4910 | 2005-05-24 |
| 1255939161 | Sarah Elizabeth Hosp | Nurse Anesthetist, Certified Registered | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-13 |
| 1962000273 | Forward Pathology Solutions Wichita, LLC | Pathology | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-09 |
| 1073110326 | Amanda Marie Schraeger | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-08 |
| 1942822655 | Katelynn Marie Doran | Pharmacist | 550 N Hillside St, Wichita, KS 67214-4976 | 2020-05-15 |
| 1316569072 | Christina Marie Brummett | Pharmacist | 550 N Hillside St, Wichita, KS 67214-4976 | 2020-05-15 |
| 1629610076 | Meghan Elizabeth Jorgensen | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-10-16 |
| 1215579883 | Taci Jo Wendler | Registered Nurse | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-10-15 |
| 1023659190 | Julie Lu | Physician Assistant | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-09-30 |
| 1669023131 | Brittany Elizabeth Roberts | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346347051 | Pediatrix Medical Group of Kansas Pa | Pediatrics | 550 N Hillside Ave, Wichita, KS 67214-4910 | 2006-09-17 |
| 1629073812 | Philippe Samson | Pediatrics | 3600 E Harry St, Wichita, KS 67218-3713 | 2005-06-15 |
| 1629610076 | Meghan Elizabeth Jorgensen | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-10-16 |
| 1144644303 | Shubika D'souza | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2014-02-08 |
| 1588868145 | Cynthia Elizabeth Strand-smart | Pediatrics | 3600 E Harry St, Wichita, KS 67218-3713 | 2007-06-14 |
| 1912059205 | William Randall Reed | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2007-01-17 |
| 1992758601 | Robert Hsiao | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2006-05-17 |
| 1750349734 | Taysir Shash | Pediatrics | 3600 E Harry St, Wichita, KS 67218-3713 | 2006-05-01 |
| 1043274566 | Barry Theil Bloom | Pediatrics | 550 N Hillside St, Wesley Department of Neonatology, Wichita, KS 67214-4910 | 2006-04-13 |
| 1336102821 | Curtis Caylor Dorn | Pediatrics | 550 N Hillside St, Department of Neonatology, Wichita, KS 67214-4910 | 2006-04-07 |
| Find all providers in WICHITA | ||||
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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.