MARTEZ ANTONIO JOHNSON (NPI# 1205075637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205075637 |
Entity Type | Organization |
Organization Name | MARTEZ ANTONIO JOHNSON |
Other Organization Name | EXCELCARE REHABILITATION SERVICES |
Practice Address |
3751 Bishop Ave Jackson MS 39213-5017 |
Practice Telephone | 6016052313 |
Mailing Telephone | 6016052313 |
Enumeration Date | 2009-02-09 |
Last Update Date | 2009-02-09 |
Authorized Official Name | MARTEZ ANTONIO JOHNSON (OWNER) |
Authorized Official Telephone | 6016052313 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | APPLIED FOR | 05 |
Other Name | Type Code |
---|---|
Excelcare Rehabilitation Services | Doing Business As Name - Organization |
Street Address |
3751 BISHOP AVE |
City | JACKSON |
State | MS |
Zip Code | 39213-5017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
Find all providers in zip 39213 |
Taxonomy Code | 261QH0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Hearing and Speech |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518205806 | Billedeaux Hearing Center LLC | Clinic/Center | 1625 E County Line Rd, Jackson, MS 39211-1837 | 2013-01-22 |
1437303922 | Cox & Evans Enterprise | Clinic/Center | 2964 Terry Rd Ste B2, Jackson, MS 39212-3070 | 2008-11-10 |
1396922365 | Ada M Robinson | Clinic/Center | 1954 Central St, Jackson, MS 39209-7118 | 2008-01-22 |
1548767353 | Rebecca Tepler | Clinic/Center | 2 Stacy Ct, Jackson, NJ 08527-2912 | 2018-04-09 |
1568903185 | Community Hearing Center LLC | Clinic/Center | 2027 4th St, Jackson, MI 49203-4572 | 2017-03-15 |
1194904342 | West Tennessee Hearing & Speech Center, Inc | Clinic/Center | 65 Ridgecrest Rd, Jackson, TN 38305-2359 | 2007-10-24 |
1669424701 | Mississippi Hearing Center, Inc | Clinic/Center | 1151 N State St, Suite 107, Jackson, MS 39202-2407 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518566314 | Capital Hearing Center LLC | Clinic/Center | 628 Lakeland East Dr Ste A, Flowood, MS 39232-9565 | 2020-10-22 |
1952923799 | Li Speech Therapy | Clinic/Center | 9 County Road 2017, Oxford, MS 38655-6700 | 2020-05-14 |
1528490117 | Coastal Hearing Center, LLC | Clinic/Center | 970 Tommy Munro Dr Ste A, Biloxi, MS 39532-2176 | 2013-08-06 |
1093988602 | Quincy M Bennett | Clinic/Center | 109 Brookfield Dr, Ridgeland, MS 39157-4034 | 2008-04-04 |
1013191337 | Mound Bayou Public School District | Clinic/Center | 202 W Martin Luther King St, Mound Bayou, MS 38762-9775 | 2007-12-21 |
1972726347 | Regional Rehabilitation Center | Clinic/Center | 615 Pegram Dr, Tupelo, MS 38801-6321 | 2007-04-11 |
1932662640 | Therapy Cares,llc | Clinic/Center | 302 N Bennett St, Crystal Springs, MS 39059-2576 | 2019-04-09 |
1306337365 | Gn Hearing Care Corp | Clinic/Center | 408 Main St, Columbus, MS 39701-4548 | 2018-05-25 |
1124520184 | Tiny Talkers LLC | Clinic/Center | 185 Nw Fourth St, Flora, MS 39071-9761 | 2018-03-06 |
1396105136 | Rogers Hearing Healthcare, Inc | Clinic/Center | 3901 Hardy St Ste 100, Hattiesburg, MS 39402-1696 | 2016-03-04 |
Find all providers with the same taxonomy |
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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.