ALLYSSA JOHNSON (NPI# 1205386448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205386448 |
| Entity Type | Individual |
| Full Name | ALLYSSA JOHNSON |
| Credential | PA |
| Practice Address |
3909 Orange Pl Ste 2100 Beachwood OH 44122-8400 |
| Mailing Address |
9001 Portage Pointe Dr Apt E107 Streetsboro OH 44241-5618 |
| Practice Telephone | 2168961800 |
| Mailing Telephone | 2169525151 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50-004905 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821633066 | Allyssa Johnson | Behavior Technician | 3229 S Cherokee Ln, Woodstock, GA 30188-4461 | 2019-11-12 |
| Street Address |
3909 ORANGE PL STE 2100 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-8400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770923 | Darshana G Patel | Family Medicine | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2005-09-14 |
| 1558834507 | Kane Louis Joseph Vaughan | Physician Assistant | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2019-01-02 |
| 1245737121 | Shannon Sinnott Barry | Registered Nurse | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2018-04-09 |
| 1194236612 | Sarah Taylor Milam | Physician Assistant | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2017-10-24 |
| 1437558111 | John M Kane | Family Medicine | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2014-08-19 |
| 1730337122 | Ivan Eduardo Lizarazo | Family Medicine | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2008-08-28 |
| 1568620755 | Samuel Brett Kaplan | Family Medicine | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2008-05-25 |
| 1548314545 | Sadhana Sharma | Family Medicine | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2007-01-23 |
| 1700953148 | Robert Michael Kuhnhenn | Family Medicine | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2006-11-29 |
| 1437238714 | Bruce R Costarella | Family Medicine | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028637 | Shayla Alyce Cech | Physician Assistant | 27060 Cedar Rd Apt 317, Beachwood, OH 44122-1128 | 2019-05-14 |
| 1972149268 | New Manna Clg, LLC | Physician Assistant | 25501 Chagrin Blvd, Beachwood, OH 44122-5603 | 2019-11-21 |
| 1336795723 | Christine Rae Turner | Physician Assistant | 25501 Chagrin Blvd # 200, Beachwood, OH 44122-5603 | 2019-08-13 |
| 1396301396 | Iryna Smolen | Physician Assistant | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2019-05-15 |
| 1164984662 | Naveen Khan | Physician Assistant | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2019-04-03 |
| 1821587510 | Kristina Shank | Physician Assistant | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2018-05-08 |
| 1750884532 | Courtney Clague | Physician Assistant | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2018-03-17 |
| 1194236612 | Sarah Taylor Milam | Physician Assistant | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2017-10-24 |
| 1942725254 | Elizabeth Zenczak | Physician Assistant | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2017-08-08 |
| 1063865764 | Leah Fulton | Physician Assistant | 3401 Enterprise Pkwy, Suite 300, Beachwood, OH 44122-7341 | 2016-07-18 |
| Find all providers in BEACHWOOD | ||||
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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.