TIMOTHY M JOHNSON (NPI# 1255428025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255428025 |
| Entity Type | Individual |
| Full Name | TIMOTHY M JOHNSON |
| Credential | MD |
| Practice Address |
1979 Huron Pkwy Ann Arbor MI 48104-4141 |
| Practice Telephone | 7343444567 |
| Practice Fax Number | 7346691104 |
| Mailing Telephone | 7343444567 |
| Mailing Fax Number | 7346691104 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 4301053410 | MI | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
4301053410 | MI | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
4301053410 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1927590 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992363089 | Timothy Harold Johnson | Registered Nurse | 9209 Seminole Blvd Unit 209, Seminole, FL 33772-3142 | 2019-06-03 |
| 1689139354 | Timothy Edward Johnson | Behavioral Analyst | 1075 N Main Street, Chelsea, MI 48118 | 2019-02-06 |
| 1942721600 | Timothy Byron Johnson | Dentist | 510 N Dacie Pt, Lecanto, FL 34461-8398 | 2017-07-03 |
| 1598208944 | Timothy M Johnson | Contractor | 2637 Pine Tree Dr, Miramar, FL 33023 | 2016-12-02 |
| 1982085247 | Timothy Brian Johnson | Obstetrics & Gynecology | 9730 S Western Ave Ste 100, Evergreen Park, IL 60805-2853 | 2015-06-12 |
| 1942618574 | Timothy Johnson | Pharmacist | 350 Moapa Valley Boulevard, Overton, NV 89040 | 2014-07-28 |
| 1487999033 | Timothy Johnson | Hearing Instrument Specialist | 920 N Telshor Blvd Ste A, Las Cruces, NM 88011-8279 | 2012-12-10 |
| 1649555392 | Timothy Bogart Johnson | Counselor | 3785 E Sunset Rd Ste 10, Las Vegas, NV 89120-6260 | 2011-10-13 |
| 1548578248 | Timothy Leroy Johnson | Marriage & Family Therapist | 3650 S Pointe Cir Ste 208, Laughlin, NV 89029 | 2010-09-16 |
| 1437463742 | Timothy Lee Johnson | Counselor | 3100 Rhett Ct, Charlotte, NC 28273-3660 | 2010-07-28 |
| Street Address |
1979 HURON PKWY |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831610153 | Miriam Sagher | Nurse Practitioner | 1979 Huron Pkwy, Ann Arbor, MI 48104-4141 | 2017-06-28 |
| 1932512688 | Julie Natoli | Physician Assistant | 1979 Huron Pkwy, Ann Arbor, MI 48104-4141 | 2014-06-10 |
| 1720347248 | Laura K Ganger, M.d. P.C. | Dermatology | 1979 Huron Pkwy, Ann Arbor, MI 48104-4141 | 2012-05-04 |
| 1487936886 | Kathryn Agnes Fahlstrom | Physician Assistant | 1979 Huron Pkwy, Ann Arbor, MI 48104-4141 | 2011-09-13 |
| 1184887606 | Thy Thy Do | Dermatology | 1979 Huron Pkwy, Ann Arbor, MI 48104 | 2008-07-03 |
| 1780893867 | Angela Marie Frost Rondina | Dermatology | 1979 Huron Pkwy, Ann Arbor, MI 48104-4141 | 2007-05-22 |
| 1568671535 | Laura Kathleen Ganger | Dermatology | 1979 Huron Pkwy, Ann Arbor, MI 48104-4141 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528097128 | Regents of The University of Michigan | Dermatology | 1500 East Medical Center Drive, 1st Floor Taubman Center Recp B, Ann Arbor, MI 48109-0314 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1407309560 | St Joseph Dermatology and Vein Clinic Pllc | Dermatology | 2500 Niles Rd Ste 10a, Saint Joseph, MI 49085-3272 | 2016-07-25 |
| 1003290750 | El Tal Md PC | Dermatology | 555 Midtowne St Ne Ste 301, Grand Rapids, MI 49503-5729 | 2015-07-13 |
| 1912347923 | Forefront Dermatology, S.c. | Dermatology | 4362 Cascade Road, Suite 206, Grand Rapids, MI 49546 | 2013-07-05 |
| 1699003699 | Robert G Lee P C | Dermatology | 200 S Wenona St Ste G96, Bay City, MI 48706-8831 | 2009-12-02 |
| 1265645535 | Academic Dermatology & Cosmetic Surgery Center, Pllc | Dermatology | 50182 Schoenherr Road, Shelby Twp., MI 48315 | 2007-05-07 |
| 1649300880 | Skin Care Physicians PC | Dermatology | 2026 N Beech Daly Rd, Dearborn Heights, MI 48127-3405 | 2007-03-06 |
| 1437133097 | Kent Jerome Krach | Dermatology | 43900 Garfield Road, Suite 100, Clinton Township, MI 48038 | 2005-12-06 |
| 1134124217 | Montgomery O Gillard | Dermatology | 4990 W Clark Rd, Building A, Suite 200, Ypsilanti, MI 48197-1149 | 2005-06-16 |
| 1366906364 | Tru North Dermatology | Dermatology | 315 Oakgrove St, Manistee, MI 49660-1176 | 2019-01-24 |
| Find all providers with the same taxonomy | ||||
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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.