DAVID GARDNER JOHNSON


Address: 1425 Portland Ave, Rochester, NY 14621-3095
Phone: 5859223327

DAVID GARDNER JOHNSON (NPI# 1205301496) 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) 1205301496
Entity Type Individual
Full Name DAVID GARDNER JOHNSON
Practice Address 1425 Portland Ave
Rochester
NY 14621-3095
Mailing Address 100 Kings Hwy S
Rochester
NY 14617-5504
Practice Telephone 5859223327
Practice Fax Number 5859223835
Enumeration Date 2018-10-04
Last Update Date 2018-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 343646 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers DAVID JOHNSON

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1952803314 David M Johnson Specialist 1345 Nw 15th St, Lincoln City, OR 97367-3327 2018-03-01
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1316457211 David Johnson Specialist/Technologist 14354 Mission Way, Broomfield, CO 80023-4049 2017-10-05
1437519501 David Hale Johnson Nurse Practitioner 169 Doctors Drive, Boone, NC 28607 2016-03-02
1366812141 David Clayton Johnson Occupational Therapist 201 Ridgecrest Dr, Chapel Hill, NC 27514-2104 2015-10-06
1447635529 David Johnson Student in an Organized Health Care Education/Training Program 9666 Kent St, Elk Grove, CA 95624 2015-07-30
1245623628 David Johnson Pharmacist 10223 50th Ave E, Tacoma, WA 98446-5412 2015-03-10
1710377585 David Jackson Johnson Counselor 862 S Main St Ste 2, Brigham City, UT 84302-3300 2015-01-30
1376892828 David Berek Johnson Chiropractor 7559 Kayne Blvd, Columbus, GA 31909-2521 2012-08-30

Office Location

Street Address 1425 PORTLAND AVE
City ROCHESTER
State NY
Zip Code 14621-3095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881697605 Joseph David Silverberg Ophthalmology 1425 Portland Ave, Rochester, NY 14621-3001 2005-05-24
1598372443 Chengu Niu Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-09-24
1194339085 Latanya Denise Brown Licensed Practical Nurse 1425 Portland Ave, Rochester, NY 14621-3011 2020-09-08
1487267134 Roberto M Voica Pharmacist 1425 Portland Ave, Rochester, NY 14621-3011 2020-08-24
1538770102 Utsav Joshi Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-08-16
1952911687 Ido Goldenberg Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-08-06
1669081378 Carlos Alejandro Portales Castillo Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-07-28
1427667617 Varun Bhalla Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-07-23
1871101550 Tamer Salhab Altamimi Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-07-17
1508474628 Hafsa Faisal Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619515327 Patti Humphrey Occupational Therapist 1831 Ridge Rd. East, Rochester, NY 14621 2019-12-12
1861956682 Sonya Thomas Counselor Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 2019-01-25
1811478357 Laura Iannella Student in an Organized Health Care Education/Training Program 1455 East Ridge, Rochester, NY 14621 2018-08-23
1982180345 Naman Sharma Student in an Organized Health Care Education/Training Program Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 2018-07-18
1699213447 Kara Mcallister Nurse Practitioner 370 East Ridge Road, Suite 400, Rochester, NY 14621 2017-02-01
1285082982 Universal Care Services, LLC In Home Supportive Care 64 Delamaine Drive, Rochester, NY 14621 2016-06-03
1700243896 Kenroy King I Registered Nurse 67 Warsaw Street, Rochester, NY 14621 2016-01-21
1154794808 Shari Venisee Licensed Practical Nurse 67 Carthage St, Rochester, NY 14621 2015-11-03
1114349024 Anthony Michael Plavsity Registered Nurse 1450 Clifford Ave, Rochester, NY 14621 2014-01-11
1033541107 The Community Place of Greater Rochester, Inc Case Management 500 Carter Street, Rochester, NY 14621 2013-07-31
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801406889 Lauren Reposa Nurse Practitioner 420 Snipatuit Rd, Rochester, MA 02770-1843 2020-08-05
1558923599 Megan Michelle Maurer Nurse Practitioner 343 Oakridge Dr, Rochester, NY 14617-2541 2019-06-30
1831674183 Julie Marie Hammer Nurse Practitioner 1415 Portland Ave Ste 220, Rochester, NY 14621-3039 2018-10-02
1417439761 Andrew Molnar Nurse Practitioner 4451 Carriage Hill Ct, Rochester, MI 48306-4672 2018-09-04
1124528740 Kelly F Dibble Nurse Practitioner 222 Alexander St Ste 5000, Rochester, NY 14607-4064 2018-02-20
1255847059 Brooke Maleszewski Nurse Practitioner 821 3rd Ave Se Ste 15, Rochester, MN 55904 2017-12-17
1487163945 Sylvana Adly Brickley Nurse Practitioner 40 Celebration Drive Dermatology, Rochester, NY 14642-0001 2017-09-27
1639603111 Sos Recovery Services, Inc. Nurse Practitioner 234 Adams St, Rochester, PA 15074-2102 2017-04-12
1134534944 Stephanie Solpietro Nurse Practitioner 601 Elmwood Ave Box 619-334, Rochester, NY 14642-0001 2014-07-01
1417200593 Joann Bettin Trzcinski Nurse Practitioner 95 Canal Landing Blvd Ste A, Rochester, NY 14626-5111 2012-10-26
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Competitor

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City ROCHESTER
Zip Code 14621

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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.

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