LARRY T JOHNSON MD (NPI# 1386919611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386919611 |
| Entity Type | Organization |
| Organization Name | LARRY T JOHNSON MD |
| Practice Address |
5701 Maple Ave 100 Dallas TX 75235-6519 |
| Practice Telephone | 2143516600 |
| Practice Fax Number | 2143515046 |
| Mailing Telephone | 2143516600 |
| Mailing Fax Number | 2143515046 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |
| Authorized Official Name | LISA CONTRERAS (BUSINESS MANAGER) |
| Authorized Official Telephone | 2146542129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
G6311 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
5701 MAPLE AVE 100 |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629034137 | Tom Gerald Mayer | Orthopaedic Surgery | 5701 Maple Ave, Ste. 100, Dallas, TX 75235-6519 | 2006-04-24 |
| 1164957528 | Ramon Cuencas-zamora | Counselor | 5701 Maple Ave, Suite 100, Dallas, TX 75235-6519 | 2017-04-24 |
| 1255888715 | Steve John | Physical Therapist | 5701 Maple Ave, Suite 100, Dallas, TX 75235-6519 | 2016-09-01 |
| 1326442419 | Dallas County Hospital District | Clinic/Center | 5701 Maple Ave, Suite 300, Dallas, TX 75235-6519 | 2014-10-17 |
| 1861792160 | Hayes Pharmacy Inc | Pharmacy | 5701 Maple Ave, Suite 100-b, Dallas, TX 75235-6519 | 2010-11-02 |
| 1639315625 | Michael Foster Gartman | Counselor | 5701 Maple Ave, 100, Dallas, TX 75235-6519 | 2008-12-23 |
| 1922243070 | Gordon E Leeman | Counselor | 5701 Maple Ave, 100, Dallas, TX 75235-6519 | 2008-12-03 |
| 1922251214 | Donald Randolph Neblett | Counselor | 5701 Maple Ave, Ste. 100, Dallas, TX 75235-6519 | 2008-10-30 |
| 1003069394 | William Keith Palmer | Counselor | 5701 Maple Ave, Ste. 100, Dallas, TX 75235-6519 | 2008-10-30 |
| 1558514844 | Monica M Tetrault | Counselor | 5701 Maple Ave, Ste. 100, Dallas, TX 75235-6519 | 2008-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812221 | Granthem Pllc | Orthopaedic Surgery | 8440 Walnut Hill Ln Ste 230, Dallas, TX 75231-3816 | 2020-02-12 |
| 1265701650 | Advanced Spine Center | Orthopaedic Surgery | 2430 Victory Park Ln, Ste 2001, Dallas, TX 75219-7709 | 2011-12-14 |
| 1457596561 | Craig C Callewart Md Pa | Orthopaedic Surgery | 9101 N. Central Expwy., Suite 360, Dallas, TX 75231 | 2008-12-04 |
| 1205848512 | Charles Jack Banta II | Orthopaedic Surgery | 8220 Walnut Hill Ln Ste 608, Dallas, TX 75231-4424 | 2006-08-13 |
| 1922028638 | William A Bruck | Orthopaedic Surgery | 9301 N Central Expy # 720-1982, Dallas, TX 75231-0806 | 2006-07-19 |
| 1053364547 | John H Peloza Md Pa | Orthopaedic Surgery | 17980 Dallas Pkwy, Suite 300, Dallas, TX 75287 | 2006-05-18 |
| 1245283548 | John H. Peloza | Orthopaedic Surgery | 17980 Dallas Parkway, Suite 300, Dallas, TX 75287 | 2006-05-18 |
| 1528051034 | Stephen Ozanne | Orthopaedic Surgery | 3450 W Wheatland Rd, Suite 330, Dallas, TX 75237-3470 | 2005-08-30 |
| 1659378305 | Venkat Sethuraman | Orthopaedic Surgery | 12200 Park Central Dr Ste 135, Dallas, TX 75251-2147 | 2005-07-07 |
| 1427054964 | Kevin Gill | Orthopaedic Surgery | 5303 Harry Hines Blvd Fl 6, Suite 108, Dallas, TX 75390-8810 | 2005-06-21 |
| Find all providers in DALLAS | ||||
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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.