DR. JARED LORAN JOHNSON (NPI# 1245435452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245435452 |
| Entity Type | Individual |
| Full Name | DR. JARED LORAN JOHNSON |
| Credential | MD |
| Practice Address |
7570 W 21st St N Building 1042 Suite A Wichita KS 67205-1734 |
| Practice Telephone | 3168543526 |
| Practice Fax Number | 3168543511 |
| Mailing Telephone | 3168543526 |
| Mailing Fax Number | 3168543511 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2016-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04-33458 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200630640F | 05 | |
| MEDICARE | 003719183 | 01 |
| 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 |
7570 W 21ST ST N BUILDING 1042 SUITE A |
| City | WICHITA |
| State | KS |
| Zip Code | 67205-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711244 | Peeples Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 7570 W 21st St N, Ste 1026b, Wichita, KS 67205-1734 | 2005-06-22 |
| 1811547102 | Janel Hartwell | Marriage & Family Therapist | 7570 W 21st St N, Wichita, KS 67205-1734 | 2019-09-18 |
| 1639526536 | Axiom Counseling & Therapy Services | Marriage & Family Therapist | 7570 W 21st St N, Building1042 Suite B, Wichita, KS 67205-1734 | 2016-05-20 |
| 1568835742 | Stefanie Marie Roth | Registered Nurse | 7570 W 21st St N, Suite 1026 D, Wichita, KS 67205-1734 | 2015-11-10 |
| 1336530716 | Bethany Owens | Social Worker | 7570 W 21st St N, Suite 1026d, Wichita, KS 67205-1764 | 2015-02-06 |
| 1356603575 | Steven J Dold | Dentist | 7570 W 21st St N, Ste 1026b, Wichita, KS 67205-1734 | 2012-06-13 |
| 1861752859 | Brent Carpenter | Dentist | 7570 W 21st St N, Building 1010, Wichita, KS 67205-1734 | 2012-05-23 |
| 1487880282 | Joshua Warren Davis | Dentist | 7570 W 21st St N, Bldg. 1050 Suite B, Wichita, KS 67205-1734 | 2009-06-08 |
| 1972740843 | Reflection Ridge Dental, LLC | Point of Service | 7570 W 21st St N, 1050b, Wichita, KS 67205-1734 | 2009-01-14 |
| 1619136702 | Craig Douglas Ratzlaff | Dentist | 7570 W 21st St N, Bldg 1020 Ste A, Wichita, KS 67205-1734 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
| 1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
| 1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
| Find all providers in zip 67205 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370892 | River City Osteopathic Clinic | Family Medicine | 401 E 1st St, Wichita, KS 67202-2501 | 2020-09-14 |
| 1477108603 | Laurie Irene Haury | Family Medicine | 818 N Emporia St Ste 107, Wichita, KS 67214-3725 | 2019-08-05 |
| 1437546173 | Nguyen Family Medicine LLC | Family Medicine | 1431 S Bluffview Dr Ste 212, Wichita, KS 67218-3039 | 2015-04-21 |
| 1427447853 | Safia Lyon | Family Medicine | 12115 E 21st St N Ste 107, Wichita, KS 67206-3571 | 2015-01-22 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1134496193 | Wichita Pain Associates Pa | Family Medicine | 2548 N Maize Ct, Suite 104, Wichita, KS 67205-7347 | 2011-11-18 |
| 1831485317 | Nicholas Andrew Tomsen | Family Medicine | 1126 S Clifton Ave, Wichita, KS 67218-2913 | 2011-06-23 |
| 1538454905 | Michael C Scheve | Family Medicine | 2135 N Ridge Rd Ste 400, Wichita, KS 67212-1404 | 2011-06-14 |
| 1124347083 | Joshua Tibbe | Family Medicine | 5000 S Clifton Ave, Ste 200, Wichita, KS 67216-3408 | 2010-05-18 |
| 1912233594 | Amity Health, LLC | Family Medicine | 7200 W 13th St N Ste 5, Wichita, KS 67212-2968 | 2009-11-02 |
| Find all providers in WICHITA | ||||
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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.