FREDERICK C JOHNSON (NPI# 1205851672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205851672 |
| Entity Type | Individual |
| Full Name | FREDERICK C JOHNSON |
| Credential | DO |
| Practice Address |
12221 Merit Dr Suite 1610 Dallas TX 75251-2202 |
| Mailing Address |
7914 Enclave Way Dallas TX 75218-4502 |
| Practice Telephone | 2142171911 |
| Mailing Telephone | 2142631445 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | L4474 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
L4474 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 164307406 | 05 | |
| TX | 164307404 | 05 | |
| TX | 164307403 | 05 | |
| TX | BCBS | 8S2689 | 01 |
| NM | 23981741 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164794202 | Frederick Farman Johnson IIi | Contractor | 334 Ne Irving Avenue, Portland, OR 97702 | 2012-02-06 |
| 1619143914 | Frederick Dwayne Johnson Jr. | Radiology | 5 Woods Cv, Little Rock, AR 72210-9108 | 2008-05-06 |
| 1003985524 | Frederick Stephen Johnson | Dentist | 221 W Penn Ave, Ste 213, Cleona, PA 17042 | 2006-11-07 |
| 1982182960 | Frederick Johnson Iv | Behavior Technician | 10340 Democracy Ln # 102b103, Fairfax, VA 22030-2518 | 2018-08-01 |
| 1295234318 | Frederick Leon Johnson Jr. | Counselor | 1278 W Us Highway 40, Odessa, MO 64076-9612 | 2018-02-04 |
| 1760723159 | Frederick L Johnson | Physical Therapy Assistant | 1205 Sw 29th St, Topeka, KS 66611-1203 | 2013-03-08 |
| 1619174406 | Frederick O Johnson | Dentist | 225 Front St, Binghamton, NY 13905-2424 | 2007-06-27 |
| 1104983360 | Frederick L Johnson | Anesthesiology | 987 Parallel Dr, Lakeport, CA 95453-5702 | 2007-01-03 |
| 1740375971 | Frederick W Johnson | Surgery | 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2765 | 2006-10-04 |
| 1376555268 | Frederick G. Johnson | Pediatrics | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2006-08-12 |
| Street Address |
12221 MERIT DR SUITE 1610 |
| City | DALLAS |
| State | TX |
| Zip Code | 75251-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831162874 | Dipauni S Doshi | Internal Medicine | 12221 Merit Dr, Ste 1500, Dallas, TX 75251-2202 | 2006-02-09 |
| 1962959007 | Rebecca Conroy | Nurse Practitioner | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-09-07 |
| 1164884599 | Lindsey Lawrence | Physician Assistant | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-03-24 |
| 1972965770 | Ifeatu Okafor | Physician Assistant | 12221 Merit Dr, #1500, Dallas, TX 75251-2202 | 2016-03-22 |
| 1790145456 | Beverly Catherine Weickgenant | Physician Assistant | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-02-24 |
| 1235596578 | Kimberly Ann Lyon | Physician Assistant | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-01-18 |
| 1619364874 | Frisco Spine, P.a. | Neurological Surgery | 12221 Merit Dr, Suite 620, Dallas, TX 75251-2202 | 2015-04-24 |
| 1306288634 | Questcare Surgicalists Pllc | Surgery | 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 | 2013-07-29 |
| 1912340431 | Christopher Terry Kennedy | Emergency Medicine | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2013-04-15 |
| 1265772503 | Beverly L Farris | Nurse Practitioner | 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 | 2013-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387317 | Patricia Maria Torres | Specialist/Technologist | 12270 Coit Rd. #870, Dallas, TX 75251 | 2018-12-13 |
| 1437654043 | Precision Med Consultants | Anesthesiology | 12200 Park Central Dr Ste 300, Dallas, TX 75251 | 2018-03-26 |
| 1346650496 | Joseph Hughes Snow Iv | Emergency Medicine | Envision, 12221 Merit Dr Suite 1500, Dallas, TX 75251 | 2014-04-29 |
| 1033558317 | Emily B. Becher | Registered Nurse | 12221 Ment Drive, Suite 1500, Dallas, TX 75251 | 2013-06-19 |
| 1164713178 | Feraidoon Aminzadeh | Chiropractor | 8001 Lbj Freeway, Suite 401, Dallas, TX 75251 | 2011-04-25 |
| 1801035738 | Bharti V Bhakta | Clinic/Center | 7750 Lbj Freeway, Dallas, TX 75251 | 2009-02-17 |
| 1114111549 | Merit Comprehensive Care | Clinic/Center | 12200 Park Central Dr., Suite 189, Dallas, TX 75251 | 2007-08-29 |
| 1790906683 | Amee Godkin Nash | Counselor | 7808 Clodus Field Drive, Dallas, TX 75251 | 2007-05-01 |
| 1740302561 | Asjad M Khan | Internal Medicine | 1221 Merit Drive, 1610, Dallas, TX 75251 | 2007-04-04 |
| 1891845681 | Zachary A Goldman | Emergency Medicine | Questcare Partners, 12221 Merit Dr #1610, Dallas, TX 75251 | 2007-01-12 |
| Find all providers in zip 75251 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1982131363 | Julia C Durante | Pediatrics | 2350 N Stemmons Fwy Ste F5200, Dallas, TX 75207-2700 | 2017-05-17 |
| 1891235206 | Jill Whitehurst | Pediatrics | 6436 Glendora Ave, Dallas, TX 75230-5125 | 2017-03-03 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| 1144686601 | Souren Chakmakjian | Pediatrics | 3855 Branchfield Dr, Dallas, TX 75214-2949 | 2016-01-13 |
| 1851756977 | Aaron L. Kreisler, M.d. P.a. | Pediatrics | 1151 N Buckner Blvd # Pb1, Suite 203, Dallas, TX 75218-3426 | 2015-12-16 |
| 1679982540 | Mevelline Lim | Pediatrics | 2350 N Stemmons Fwy Ste 2400, Dallas, TX 75207-2700 | 2014-08-05 |
| 1134549983 | Diana Liz Arriola | Pediatrics | 3434 W Illinois Ave Ste 306-3, Dallas, TX 75211-8709 | 2014-04-20 |
| 1386064269 | Jennifer Nguyen Chew | Pediatrics | 6300 Harry Hines Blvd Ste 101, Dallas, TX 75235-5259 | 2014-04-18 |
| 1215379987 | Colleen D Edge | Pediatrics | 8355 Walnut Hill Ln Ste 105, Dallas, TX 75231-4242 | 2013-07-23 |
| 1083055214 | Richard William Markus | Pediatrics | 7777 Forest Ln Ste B320, Dallas, TX 75230-6820 | 2013-07-16 |
| Find all providers in DALLAS | ||||
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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.