MARTEZ ANTONIO JOHNSON


Address: 3751 Bishop Ave, Jackson, MS 39213-5017
Phone: 6016052313

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0700X Clinic/Center
Specialization: Hearing and Speech
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS APPLIED FOR 05

Other Provider/Organization Names

Other Name Type Code
Excelcare Rehabilitation Services Doing Business As Name - Organization

Office Location

Street Address 3751 BISHOP AVE
City JACKSON
State MS
Zip Code 39213-5017

Providers in the same zip code

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 Information

Taxonomy Code 261QH0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Hearing and Speech

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City JACKSON
Zip Code 39213

Improve Information

Please comment or provide details below to improve the information on MARTEZ ANTONIO JOHNSON.

Dataset Information

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.

Trending Searches