DR. JUSTIN THEO JOHNSON (NPI# 1336328624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336328624 |
Entity Type | Individual |
Full Name | DR. JUSTIN THEO JOHNSON |
Credential | D.P.M. |
Practice Address |
1661 Highway 99 N Ste 201 Ashland OR 97520-8900 |
Mailing Address |
1661 Hwy 99 N Ste 201 Ashland OR 97520-8900 |
Practice Telephone | 5414824924 |
Practice Fax Number | 5414881732 |
Mailing Telephone | 5414824924 |
Mailing Fax Number | 5414881732 |
Enumeration Date | 2007-11-02 |
Last Update Date | 2017-01-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DPOO440 | OR | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | NPI | 1336328624 | 01 |
OR | STATE MEDICAL LICENSE NUMBER | DP00440 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285278069 | Justin Johnson | Home Health Aide | 5636 Statler Ave, Saint Louis, MO 63136-1127 | 2019-11-04 |
1750865382 | Justin Morgan Johnson | Behavioral Analyst | North Bldg. A, 230 N 1680 E, St George, UT 84790 | 2018-09-19 |
1134467731 | Justin Wesley Johnson | Dentist | 11201 Huguenot Road, Richmond, VA 23235 | 2013-01-17 |
1871898163 | Justin Johnson | Chiropractor | 2406 S State Rd, Ionia, MI 48846-2140 | 2011-01-18 |
1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
1255944641 | Justin Baily Johnson | Speech-Language Pathologist | 400 Shall St, Little Rock, AR 72202-2730 | 2020-08-26 |
1891314746 | Justin Indigo Johnson | Physical Therapist | 1300 Egg Harbor Rd, Sturgeon Bay, WI 54235-1277 | 2020-04-10 |
1447884242 | Justin Johnson | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-03-02 |
1487285557 | Justin M Johnson | Behavior Technician | 7100 Stevenson Blvd, Fremont, CA 94538-2485 | 2020-01-28 |
1518436377 | Justin Johnson | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2018-11-21 |
Street Address |
1661 HIGHWAY 99 N STE 201 |
City | ASHLAND |
State | OR |
Zip Code | 97520-8900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710091715 | Molly Mccormick Gramley | Internal Medicine | 1661 Highway 99 N, Bldg A, Ste 100, Ashland, OR 97520-8900 | 2006-08-18 |
1770913295 | Providence Health & Services - Oregon | Clinic/Center | 1661 Highway 99 N, Building A, Ste 1100, Ashland, OR 97520-8900 | 2013-11-19 |
1174969778 | Providence Health & Services - Oregon | Clinic/Center | 1661 Highway 99 N, Building A, Suite 100, Ashland, OR 97520-8900 | 2013-05-22 |
1154687259 | Sara Elizabeth Walz | Internal Medicine | 1661 Highway 99 N, Building A, Ste 100, Ashland, OR 97520-8900 | 2012-04-03 |
1689722795 | Karin B Kuhl | Internal Medicine | 1661 Highway 99 N, Bldg A, Ste 100, Ashland, OR 97520-8900 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
Find all providers in zip 97520 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407145568 | Justin T Johnson Dpm Inc. | Podiatrist | 1661 Hwy 99 N Ste 201, Ashland, OR 97520-8900 | 2011-03-29 |
1255439725 | Lynn William Rawcliffe | Podiatrist | 1661 Hwy 99 N, Suite 201, Ashland, OR 97520-8900 | 2006-09-20 |
1265436141 | Brian Keith Bailey | Podiatrist | 500 14th St, Ashland, KY 41101-2622 | 2005-06-09 |
1255709440 | Ashland/mansfield Foot & Ankle Specialists | Podiatrist | 45 Amberwood Pkwy, Ashland, OH 44805-9765 | 2015-09-04 |
1891009767 | Bellefonte Physician Services, Inc. | Podiatrist | 1000 Ashland Dr, Ste. 104, Ashland, KY 41101-7084 | 2010-08-03 |
1356665103 | Oregon Foot & Ankle Surgical Specialist, LLC | Podiatrist | 1661 Hwy 99 N, Suite 201, Ashland, OR 97520-8900 | 2010-03-23 |
1174784417 | Jerod Darnell Dpm Pllc | Podiatrist | 1290 Montgomery Ave Ste B, Ashland, KY 41101-2776 | 2008-06-19 |
1083874788 | Jerod Preston Darnell | Podiatrist | 1290 Montgomery Ave Ste B, Ashland, KY 41101-2776 | 2008-06-16 |
1609041086 | Body-mind-spirit Podiatric Center, Pllc | Podiatrist | 500 14th St, Ashland, KY 41101-2622 | 2008-04-25 |
1861660862 | Advent Foot and Ankle Inc | Podiatrist | 93 Broad St, Ashland, PA 17921-2101 | 2008-02-13 |
Find all providers in ASHLAND |
Please comment or provide details below to improve the information on DR. JUSTIN THEO 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.