TIMOTHY VAN JOHNSON (NPI# 1386965622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386965622 |
| Entity Type | Individual |
| Full Name | TIMOTHY VAN JOHNSON |
| Credential | M.D. |
| Practice Address |
535 Jack Warner Pkwy Ne Suite B-1 Tuscaloosa AL 35404-5751 |
| Practice Telephone | 2055562121 |
| Practice Fax Number | 2055540152 |
| Mailing Telephone | 2055562121 |
| Mailing Fax Number | 2055540152 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD33294 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529202430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992363089 | Timothy Harold Johnson | Registered Nurse | 9209 Seminole Blvd Unit 209, Seminole, FL 33772-3142 | 2019-06-03 |
| 1689139354 | Timothy Edward Johnson | Behavioral Analyst | 1075 N Main Street, Chelsea, MI 48118 | 2019-02-06 |
| 1942721600 | Timothy Byron Johnson | Dentist | 510 N Dacie Pt, Lecanto, FL 34461-8398 | 2017-07-03 |
| 1598208944 | Timothy M Johnson | Contractor | 2637 Pine Tree Dr, Miramar, FL 33023 | 2016-12-02 |
| 1982085247 | Timothy Brian Johnson | Obstetrics & Gynecology | 9730 S Western Ave Ste 100, Evergreen Park, IL 60805-2853 | 2015-06-12 |
| 1942618574 | Timothy Johnson | Pharmacist | 350 Moapa Valley Boulevard, Overton, NV 89040 | 2014-07-28 |
| 1487999033 | Timothy Johnson | Hearing Instrument Specialist | 920 N Telshor Blvd Ste A, Las Cruces, NM 88011-8279 | 2012-12-10 |
| 1649555392 | Timothy Bogart Johnson | Counselor | 3785 E Sunset Rd Ste 10, Las Vegas, NV 89120-6260 | 2011-10-13 |
| 1548578248 | Timothy Leroy Johnson | Marriage & Family Therapist | 3650 S Pointe Cir Ste 208, Laughlin, NV 89029 | 2010-09-16 |
| 1437463742 | Timothy Lee Johnson | Counselor | 3100 Rhett Ct, Charlotte, NC 28273-3660 | 2010-07-28 |
| Street Address |
535 JACK WARNER PKWY NE SUITE B-1 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35404-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948306 | Steven George Helm | Allergy & Immunology | 535 Jack Warner Pkwy Ne, Suite C, Tuscaloosa, AL 35404-5751 | 2005-11-08 |
| 1982059895 | Alabama Family Podiatry | Podiatrist | 535 Jack Warner Pkwy Ne, Suite G2, Tuscaloosa, AL 35404-5751 | 2016-04-28 |
| 1992163620 | Susan Elizabeth Whitt | Dentist | 535 Jack Warner Pkwy Ne, Tuscaloosa, AL 35404-5751 | 2016-02-09 |
| 1487084729 | Black Warrior Dental Center | Clinic/Center | 535 Jack Warner Pkwy Ne, Suite J-1, Tuscaloosa, AL 35404-5751 | 2013-11-23 |
| 1700150208 | Woundsavers, PC | General Practice | 535 Jack Warner Pkwy Ne, Suite J-1, Tuscaloosa, AL 35404-5751 | 2012-03-01 |
| 1467739870 | Total Performance Medicine | Pain Medicine | 535 Jack Warner Pkwy Ne, Suite J-1, Tuscaloosa, AL 35404-5751 | 2011-11-14 |
| 1730474156 | Claressa Lajune Sanders Jones | Nurse Practitioner | 535 Jack Warner Pkwy Ne, Suite K, Tuscaloosa, AL 35404-5751 | 2011-06-14 |
| 1669604526 | Aiesha S Hill | Podiatrist | 535 Jack Warner Pkwy Ne, G2, Tuscaloosa, AL 35404-5751 | 2009-08-11 |
| 1174717185 | John R Goff | Clinical Neuropsychologist | 535 Jack Warner Pkwy Ne, Ste A-2, Tuscaloosa, AL 35404-5751 | 2007-09-03 |
| 1730370990 | Andrea Loren Sims | Dietitian, Registered | 535 Jack Warner Pkwy Ne, Suite K, Tuscaloosa, AL 35404-5751 | 2007-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774146 | Dch Encore Rehabilitation, LLC | Clinic/Center | 1050 Ruby Tyler Parkwasy, Tuscaloosa, AL 35404 | 2019-01-22 |
| 1629465422 | Emily Dykes | Dietitian, Registered | 1000 13th St E Sted, Tuscaloosa, AL 35404 | 2015-04-20 |
| 1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
| 1790128825 | Ryan Carl Morrison | Dentist | 1701 Mcfarland Blvd E Ste 122, Tuscaloosa, AL 35404 | 2013-04-08 |
| 1962745000 | Jay William Holliday | Kinesiotherapist | 3707 Loop Rd., Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 | 2013-03-27 |
| 1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
| 1841441656 | Payless Optical Outlets, Inc | Technician/Technologist | 622 15th Street E., Tuscaloosa, AL 35404 | 2008-10-10 |
| 1346408291 | William Heflin Barton IIi | Emergency Medicine | 1718 Veterans Memorial Parkway, Tuscaloosa, AL 35404 | 2008-05-28 |
| 1629245931 | Louis T Payne | Obstetrics & Gynecology | 535 Jack Warner Parkway Ne, Suite I, Tuscaloosa, AL 35404 | 2008-05-15 |
| 1780746719 | Tuscaloosa Medical Associates | Internal Medicine | 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2006-12-15 |
| Find all providers in zip 35404 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598248205 | Almatriga Vladzetta Essex | Specialist | 1110 15th St Ste G, Tuscaloosa, AL 35401-3393 | 2018-09-09 |
| 1942679089 | Laujwinae Gardner | Specialist | 7204 Hud Ln, Tuscaloosa, AL 35405-6229 | 2015-09-18 |
| 1861772626 | Sam Chen | Specialist | Univ of Al Rec, 401 5th Ave E, Tuscaloosa, AL 35487-0001 | 2011-08-25 |
| 1770870149 | Mednet West, Inc. | Specialist | 3816 Palisades Drive, Suite B, Tuscaloosa, AL 35405-3451 | 2011-07-06 |
| 1124168927 | Southeastern Plastic Surgery Assoc., PC | Specialist | 100 Towncenter, Suite 111, Tuscaloosa, AL 35406-1832 | 2007-02-08 |
| 1700986650 | Skilled Neurology Inc | Specialist | 33 Ridgeland, Tuscaloosa, AL 35406-1607 | 2006-09-22 |
| 1760455950 | Edward D Hillard | Specialist | 900 Anna Ave, Tuscaloosa, AL 35401-2014 | 2006-02-09 |
| 1316910854 | John William Morr | Specialist | The University of Alabama, Box 870393, Tuscaloosa, AL 35487-0001 | 2006-02-07 |
| 1962474775 | Sherry Lou Kimbro | Specialist | 1201 Coliseum Drive, Coliseum Athletic Training Room, Tuscaloosa, AL 35487-0001 | 2006-02-06 |
| 1780241323 | Studiov Hlc | Specialist | 1110 15th St Ste G, Tuscaloosa, AL 35401-3393 | 2019-05-20 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35404 |
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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.