ANTONIO DE'SHAWN JOHNSON (NPI# 1285198721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285198721 |
Entity Type | Individual |
Full Name | ANTONIO DE'SHAWN JOHNSON |
Practice Address |
400 S Broadway Ste 6 Edmond OK 73034-3848 |
Mailing Address |
6213 Sudbury Dr Oklahoma City OK 73162-1724 |
Practice Telephone | 4057638063 |
Mailing Telephone | 4055039315 |
Enumeration Date | 2019-01-29 |
Last Update Date | 2019-01-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | 0000 | OK | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578936647 | Antonio Demetrius Johnson Jr. | Specialist/Technologist | 48 A St, Niagara Falls, NY 14303-2009 | 2015-11-11 |
1063606044 | Antonio Delmar Johnson | Physical Therapist | 2906 Morning Brook Way, Pearland, TX 77584-2119 | 2007-08-31 |
1134738651 | Antonio N Johnson | Peer Specialist | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2020-07-30 |
Street Address |
400 S BROADWAY STE 6 |
City | EDMOND |
State | OK |
Zip Code | 73034-3848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
Find all providers in zip 73034 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
1417599085 | Jacob Oliver Buchanan | Case Manager/Care Coordinator | 4100 Nw 155th St, Edmond, OK 73013-9139 | 2019-10-15 |
1154963866 | Ericka Kennedy | Case Manager/Care Coordinator | 14117 Mount Vernon Pl, Edmond, OK 73013-6455 | 2019-10-14 |
1265073936 | Nick Edward Cole | Case Manager/Care Coordinator | 5200 E Sorghum Mill Rd, Edmond, OK 73034-9446 | 2019-10-03 |
1083268213 | Lyndsey Stewart | Case Manager/Care Coordinator | 1504 Canary Pl, Edmond, OK 73034-6115 | 2019-07-25 |
1922669639 | Flavio Vital | Case Manager/Care Coordinator | 157 Stonebridge Blvd Apt 1325, Edmond, OK 73013-4685 | 2019-06-24 |
1861056889 | Latasha Langley | Case Manager/Care Coordinator | 501 W 15th St Apt 171, Edmond, OK 73013-3654 | 2019-04-24 |
1962960732 | Amy Reynolds | Case Manager/Care Coordinator | 529 Cinnamon Dr, Edmond, OK 73003-3119 | 2019-03-11 |
1356814701 | Kimley Deutsch | Case Manager/Care Coordinator | 518 W 2nd St, Edmond, OK 73003-5418 | 2019-01-08 |
1700363868 | John William Matheny | Case Manager/Care Coordinator | 2416 Nez Perce Trl, Edmond, OK 73003-1178 | 2018-07-22 |
Find all providers in EDMOND |
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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.