MR. JARED RYAN JOHNSON (NPI# 1235413949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235413949 |
| Entity Type | Individual |
| Full Name | MR. JARED RYAN JOHNSON |
| Credential | PA-C |
| Practice Address |
3334 Capital Medical Blvd Suite 400 Tallahassee FL 32308-8405 |
| Practice Telephone | 8508778174 |
| Practice Fax Number | 8508775636 |
| Mailing Telephone | 8508778174 |
| Mailing Fax Number | 8508775636 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2012-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9106174 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004163400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1710011754 | Jared C Johnson | Dentist | 1706 Overland Ave, Burley, ID 83318-2436 | 2007-03-14 |
| 1992788178 | Jared Keith Johnson | Pharmacist | 765 E Glenn Ave, Auburn, AL 36830-5151 | 2005-11-22 |
| 1295335073 | Jared Johnson | Pharmacist | 1009 Saint Patricks Dr, Perry, GA 31069-2144 | 2020-10-29 |
| 1902428238 | Jared Joshua Johnson | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2059 | 2020-05-08 |
| 1548880420 | Jared Johnson | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 394, Minneapolis, MN 55455 | 2020-04-21 |
| 1922561851 | Jared Michael Johnson | Case Manager/Care Coordinator | 602 David St, Corning, AR 72422-7268 | 2019-04-08 |
| 1528524139 | Jared Johnson | Orthopaedic Surgery | 1888 Antilley Rd Ste 200, Abilene, TX 79606-1312 | 2019-02-19 |
| 1104310663 | Jared Thornton Johnson | Physical Therapist | 13039 Worldgate Dr, Herndon, VA 20170-4374 | 2018-06-19 |
| 1750819868 | Jared Alan Johnson | Student in an Organized Health Care Education/Training Program | 540 E Canfield St, Detroit, MI 48201-1928 | 2017-06-02 |
| Street Address |
3334 CAPITAL MEDICAL BLVD SUITE 400 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-8405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970589 | David Christian Berg | Orthopaedic Surgery | 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-8405 | 2005-05-24 |
| 1932731684 | Shane Thomas Stockelman | Internal Medicine | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2020-02-11 |
| 1750913794 | Stephen C Mchargue | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2020-02-07 |
| 1639642572 | Ross Scavo | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2019-01-03 |
| 1659887891 | Jennifer Baxter | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308 | 2017-12-26 |
| 1730503798 | Keshia Arrington | Specialist/Technologist | 3334 Capital Medical Blvd, Suite 100, Tallahassee, FL 32308-8405 | 2014-02-11 |
| 1447682687 | Eric D Bernstein | Physical Therapy Assistant | 3334 Capital Medical Blvd, 300, Tallahassee, FL 32308-8405 | 2013-07-30 |
| 1356681050 | Megan C Milton | Nurse Practitioner | 3334 Capital Medical Blvd, Ste 400, Tallahassee, FL 32308-8405 | 2013-02-18 |
| 1821379124 | Lauren K Snider | Physical Therapist | 3334 Capital Medical Blvd, Suite 300, Tallahassee, FL 32308-8405 | 2011-08-31 |
| 1982903993 | Jerome Edward Harms | Registered Nurse | 3334 Capital Medical Blvd, Suite 400, Tallahassee, FL 32308-8405 | 2011-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| 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 |
|---|---|---|---|---|
| 1104481886 | Jackson Ray Handley Jr. | Physician Assistant | 650 Old Dirt Rd, Tallahassee, FL 32317-8575 | 2019-05-07 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1417360074 | Kartik Gopal | Physician Assistant | 1401 Centerville Rd Unit 710, Tallahassee, FL 32308-4641 | 2014-06-11 |
| 1538496955 | Dawn K Jones | Physician Assistant | 2040 Fleischmann Road, Tallahassee, FL 32308 | 2009-11-05 |
| 1306179734 | Rebekah G Simmons-todd | Physician Assistant | 2420 E Plaza Dr, Tallahassee, FL 32308-5353 | 2009-09-17 |
| 1851624985 | Beverly Carol Walker | Physician Assistant | 1632 Riggins Road, Tallahassee, FL 32308-5316 | 2009-09-08 |
| 1346467578 | Carrie Lynn Snider | Physician Assistant | 1707 Riggins Road, Tallahassee, FL 32308-5317 | 2007-04-19 |
| 1992777973 | Julia M Mitchell | Physician Assistant | 2452 Mahan Dr Ste 101, Tallahassee, FL 32308-5377 | 2006-02-03 |
| 1841261336 | Gregory Sydnor Laffitte | Physician Assistant | 1300 Miccosukee Rd, Hospitalists Group, Tallahassee, FL 32308-5054 | 2006-02-01 |
| 1134107352 | Shellie Cornelius | Physician Assistant | 1541 Medical Dr, Tallahassee, FL 32308-4615 | 2006-01-06 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on MR. JARED RYAN JOHNSON.
| 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.