COREY JOHNSON (NPI# 1295157600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295157600 |
| Entity Type | Individual |
| Full Name | COREY JOHNSON |
| Practice Address |
2716 W Central Ave Wichita KS 67203-4904 |
| Mailing Address |
635 N Main St Wichita KS 67203-3602 |
| Practice Telephone | 3166607300 |
| Mailing Telephone | 3166607600 |
| Mailing Fax Number | 3166607510 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
25367290 | KS | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254819 | Corey Anthony Johnson | Behavior Technician | 171 Lake St Ste 1, Ramsey, NJ 07446-2036 | 2019-09-12 |
| 1427362938 | Corey A Johnson | Chiropractor | 1940 Junction Ave, Sturgis, SD 57785-2401 | 2010-07-27 |
| 1861054546 | Corey Johnson | Obstetrics & Gynecology | 245 N 15th St # Ms 495, Philadelphia, PA 19102-1101 | 2019-07-03 |
| 1588171532 | Corey Beal Johnson | Nurse Anesthetist, Certified Registered | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2017-12-29 |
| 1811422900 | Corey Allen Johnson | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2017-04-26 |
| 1790233583 | Corey Demonne Johnson Jr. | Student in an Organized Health Care Education/Training Program | 1230 Oakley Seaver Dr, Clermont, FL 34711-1961 | 2016-09-21 |
| 1801116488 | Corey S Johnson | Surgery | 1615 Delaware St, Longview, WA 98632-2367 | 2010-06-07 |
| 1861601916 | Corey Morgan Johnson | Urology | 1301 Pleasant Valley Rd, Suite 302, Owensboro, KY 42303-9774 | 2007-05-22 |
| 1215025101 | Corey Ivan Johnson | Dentist | 2425 Grand Ave, Ste 109, Glenwood Springs, CO 81601-4180 | 2006-10-10 |
| 1639180698 | Corey B Johnson | Family Medicine | 1219 N 400 E, Logan, UT 84341-2321 | 2006-08-11 |
| Street Address |
2716 W CENTRAL AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67203-4904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750594271 | Regina Agwu | Nurse Practitioner | 2716 W Central Ave, Wichita, KS 67203-4904 | 2007-05-08 |
| 1649888991 | Teresa A Fowler | Licensed Practical Nurse | 2716 W Central Ave, Wichita, KS 67203-4904 | 2020-07-22 |
| 1700361755 | Olivia May Hopkins | Family Medicine | 2716 W Central Ave, Wichita, KS 67203-4904 | 2018-09-26 |
| 1659864635 | Amy Tener | Registered Nurse | 2716 W Central Ave, Wichita, KS 67203-4904 | 2018-06-13 |
| 1710490453 | Lori Sidebottom | Registered Nurse | 2716 W Central Ave, Wichita, KS 67203-4904 | 2017-11-15 |
| 1437687563 | Chung Kiefer | Registered Nurse | 2716 W Central Ave, Wichita, KS 67203-4904 | 2017-06-02 |
| 1184162893 | Eboni Nyangau | Registered Nurse | 2716 W Central Ave, Wichita, KS 67203-4904 | 2017-02-02 |
| 1881132496 | Tamara Leu | Registered Nurse | 2716 W Central Ave, Wichita, KS 67203-4904 | 2017-02-02 |
| 1841744976 | Kristine Beynon | Registered Nurse | 2716 W Central Ave, Wichita, KS 67203-4904 | 2016-08-05 |
| 1790238186 | Brittany Burkett | Registered Nurse | 2716 W Central Ave, Wichita, KS 67203-4904 | 2016-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
| 1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
| 1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
| 1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
| 1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
| 1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| 1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
| Find all providers in zip 67203 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437669603 | Sharon Kay Jessip | Spec/Tech, Pathology | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2017-10-02 |
| 1598939225 | Janet Lynn Bergman | Spec/Tech, Pathology | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2008-04-14 |
| 1982634465 | Kathryn Ann Zweimiller Sargent | Spec/Tech, Pathology | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2006-07-03 |
| 1174553648 | Nancy Young | Spec/Tech, Pathology | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2006-07-03 |
| 1447280920 | Nancy M Hardy | Spec/Tech, Pathology | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2006-07-03 |
| 1265462741 | Jilinda A Johnson | Spec/Tech, Pathology | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2006-07-03 |
| 1144259268 | Dyan S Odea | Spec/Tech, Pathology | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2006-07-01 |
Please comment or provide details below to improve the information on COREY 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.