DR. BARRY DUANE JOHNSON (NPI# 1265515977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265515977 |
| Entity Type | Individual |
| Full Name | DR. BARRY DUANE JOHNSON |
| Credential | M.D. |
| Practice Address |
1100 S Carpenter Ave Kingsford MI 49802-5518 |
| Mailing Address |
Po Box 549 Iron Mountain MI 49801-0549 |
| Practice Telephone | 9067765480 |
| Practice Fax Number | 9062280203 |
| Mailing Telephone | 9067741313 |
| Mailing Fax Number | 9067765639 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 4301042058 | MI | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301042058 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3463356 10 | 05 | |
| WI | 30305300 | 05 | |
| MI | BCBS MI | 1302200421 | 01 |
| MI | RR MEDICARE | P00626141 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114214392 | Barry Johnson | Marriage & Family Therapist | 2960 Broadway Unit 4, San Diego, CA 92102-2282 | 2011-07-07 |
| 1588990881 | Barry Daniel Johnson | Social Worker | 202 Havana St, Steelville, MO 65565-5077 | 2009-10-22 |
| 1093907974 | Barry Todd Johnson | Physician Assistant | 26701 S State Route 85, Buckeye, AZ 85326 | 2007-08-14 |
| 1356974273 | Barry Johnson | Counselor | 2501 N Glebe Rd, Arlington, VA 22207-3558 | 2020-02-19 |
| 1174876411 | Barry D Johnson | Pharmacist | 1100 E Riverview Expy, Wisconsin Rapids, WI 54494-5483 | 2012-10-24 |
| 1457404527 | Barry Dean Johnson | Counselor | 277 South St, San Luis Obispo, CA 93401-5039 | 2007-01-19 |
| 1194809962 | Barry K Johnson | Anesthesiology | 1531 Esplanade, Chico, CA 95926 | 2006-10-25 |
| Street Address |
1100 S CARPENTER AVE |
| City | KINGSFORD |
| State | MI |
| Zip Code | 49802-5518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689699662 | John Anthony Sand | Family Medicine | 1100 S Carpenter Ave, Kingsford, MI 49802-5518 | 2006-07-12 |
| 1306335021 | Bellin Health Iron Mountain Inc | Pediatrics | 1100 S Carpenter Ave, Kingsford, MI 49802-5518 | 2018-05-08 |
| 1952899122 | Bellin Health Iron Mountain Inc | Neuromusculoskeletal Medicine & OMM | 1100 S Carpenter Ave, Kingsford, MI 49802-5518 | 2018-04-24 |
| 1225306418 | Dickinson County Healthcare System | Pediatrics | 1100 S Carpenter Ave, Kingsford, MI 49802-5518 | 2011-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154711398 | Matthew Giordanelli | Physical Therapist | 808 Terrace Ave, Kingsford, MI 49802 | 2015-01-26 |
| 1205186632 | Integrated First Response-great Lakes | Ambulance | 2260 Woodward Ave, Kingsford, MI 49802 | 2012-09-13 |
| 1104006469 | Home Healthcare Professionals | Home Health | 733 Cass Ave, Kingsford, MI 49802 | 2007-11-05 |
| 1619072279 | Robert Joseph D Amour | Dentist | 1075 Woodward Ave, Suite A, Kingsford, MI 49802 | 2006-09-14 |
| 1891218038 | Catherine Olson | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802 | 2017-07-19 |
| 1689603839 | Linda M Opsahl | Nurse Practitioner | 800 East Blvd, Kingsford, MI 49802 | 2006-07-01 |
| 1730125436 | James A Hicks | Chiropractor | 815 Pyle Drive, Family Chiropractic Clinic PC, Kingsford, MI 49802 | 2006-06-21 |
| 1063557270 | Biancos Physical Therapy & Wellness Center | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
| 1235274432 | Danny J Bianco | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
| 1639214844 | Jodi Wadge | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
| Find all providers in zip 49802 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952899122 | Bellin Health Iron Mountain Inc | Neuromusculoskeletal Medicine & OMM | 1100 S Carpenter Ave, Kingsford, MI 49802-5518 | 2018-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1649634411 | Benjamin J Visger Do Pllc | Neuromusculoskeletal Medicine & OMM | 1865 Lawnel Ave, Norton Shores, MI 49441-3742 | 2016-04-07 |
| 1639583206 | John Morasso | Neuromusculoskeletal Medicine & OMM | 6525 West Maple Rd., Ste 101 E, West Bloomfield, MI 48322-4930 | 2014-06-11 |
| 1477845618 | Bashar Abou-rass | Neuromusculoskeletal Medicine & OMM | 4673 Ravine Dr, Bloomfield, MI 48301-3640 | 2011-05-06 |
| 1144559642 | Stephen I. Goldman, D.o., P.C. | Neuromusculoskeletal Medicine & OMM | 23995 Novi Rd, Suite C103, Novi, MI 48375-5439 | 2009-12-11 |
| 1891964292 | Adam Gregg Feinstein | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035 | 2008-02-29 |
| 1902005762 | Ravi David Yarid | Neuromusculoskeletal Medicine & OMM | 12 E Bacon St, Suite 120, Hillsdale, MI 49242-1616 | 2007-07-12 |
| 1477752327 | Amelia Louise Bueche | Neuromusculoskeletal Medicine & OMM | 818 Red Dr Ste 100, Traverse City, MI 49684 | 2007-07-12 |
| 1730384744 | Douglas Reed Jackson | Neuromusculoskeletal Medicine & OMM | 3211 Applewood Rd, Midland, MI 48640-2666 | 2007-06-19 |
| 1104031574 | Ronald Edmund Gren | Neuromusculoskeletal Medicine & OMM | 19500 Pierson Dr, Northville, MI 48167-2650 | 2007-05-11 |
| 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.