ADAM CRANDALL JOHNSON


Address: 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990
Phone: 5053271400

ADAM CRANDALL JOHNSON (NPI# 1407073687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407073687
Entity Type Individual
Full Name ADAM CRANDALL JOHNSON
Credential M.D.
Practice Address 2300 E 30th St Bldg D
Ste 101
Farmington
NM 87401-8990
Practice Telephone 5053271400
Practice Fax Number 5055643202
Mailing Telephone 5053271400
Mailing Fax Number 5055643202
Enumeration Date 2007-04-19
Last Update Date 2013-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery MD2012-0310 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DEA FJ3268314 01
NM 98107071 05
NM MEDICAL LICENSE MD2012-0310 01

Other Providers ADAM JOHNSON

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1023584091 Adam Louis Johnson Technician/Technologist 399 N Main St Ste C, Manahawkin, NJ 08050-3069 2018-10-17
1104314228 Adam Lee Johnson Student in an Organized Health Care Education/Training Program 55 Fruit St # 7-748, Boston, MA 02114-2696 2018-04-24
1477079937 Adam Johnson Counselor 518 Sw 3rd, Corvallis, OR 97333 2017-08-16
1932468451 Adam Richard Johnson Chiropractor 17 Central Ave South, Elbow Lake, MN 56531 2012-05-04
1740384759 Adam Webster Johnson Physical Therapy Assistant 2907 Williamson Co Parkway, Marion, IL 62959 2006-09-11
1740890003 Adam Tod Johnson Nurse Practitioner 240 Maple St, Woodruff, WI 54568-9190 2020-08-03
1669038246 Adam Johnson Case Manager/Care Coordinator 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 2019-05-19
1588126635 Adam B Johnson Counselor 300 Century Park S Ste 100, Birmingham, AL 35226-3924 2019-04-05

Office Location

Street Address 2300 E 30TH ST BLDG D
STE 101
City FARMINGTON
State NM
Zip Code 87401-8990

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174517601 Dennis R Kloberdanz Orthopaedic Surgery 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 2005-09-12
1205208105 Casey C Roberts Physician Assistant 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 2015-10-30
1649510546 Jared Drew Miller Physician Assistant 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 2013-03-01
1518204031 Georgean L Chapman Registered Nurse 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 2013-01-04
1700157336 Diane W Searle Registered Nurse 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 2012-01-12
1841583531 April Stovall Registered Nurse 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 2011-05-27
1336375443 Diandra Coral Becenti Physician Assistant 2300 E 30th St Bldg D, Suite 101, Farmington, NM 87401-8990 2009-06-03
1336201136 Carol W Miller Physician Assistant 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 2006-12-15
1982795704 Ellen E Colyer Registered Nurse 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 2006-09-27
1750356820 Orthopedic Associates Pa Orthopaedic Surgery 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 2006-02-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164035192 Jaylene Miller Behavior Technician 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 2020-08-28
1255940326 John Andrew Martinez Behavioral Analyst 211 N Auburn, Farmington, NM 87401 2020-07-24
1598304990 Chasitity Beulah Nez Behavior Technician 37 Rd 7101 #127, Farmington, NM 87401 2020-01-02
1205478575 Micah Magee Speech-Language Pathologist Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 2019-10-08
1831659754 Lelilah Todacheene Social Worker 1204 Camina Real, Farmington, NM 87401 2019-03-25
1306323555 Litany of Life Counselor 1010 Ridgeway Place, Farmington, NM 87401 2018-07-20
1093291213 Brittany Bigham Nurse Practitioner 1001 W Broadway Ste E, Farmington, NM 87401 2018-07-11
1528556305 Hairoun Home Health Home Health 1200 East 20th Street, Farmington, NM 87401 2018-04-26
1003338732 Silver Tongue Speech & Voice, LLC Clinic/Center 3001 Northridge Dr Ste C, Farmington, NM 87401 2017-07-14
1902256621 Capacity Builders Inc Taxi 418 W Broadway, Farmington, NM 87401 2016-06-14
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336151232 James Lee Pace Orthopaedic Surgery 399 Farmington Ave Ste 300, Farmington, CT 06032-1979 2006-08-12
1487684882 Joseph J Caldwell Orthopaedic Surgery 167 Livermore Falls Rd, Farmington, ME 04938-6241 2006-07-03
1912935461 Victor M Brown Orthopaedic Surgery 1101 Weber Road, Suite203, Farmington, MO 63640 2006-06-30
1215980420 Richard Lawrence Lawton Orthopaedic Surgery 2300 E 30th St Ste 101, Farmington, NM 87401-8990 2006-05-18
1801443387 Berkbigler Orthopaedics and Sports Specialists LLC Orthopaedic Surgery 606 Maple Valley Dr, Farmington, MO 63640-1976 2019-08-20
1689168486 Arthur Louis Kasimer-colon Orthopaedic Surgery 263 Farmington Ave, Farmington, CT 06030 2018-06-15
1154700854 Stephen Brandon Luczak Orthopaedic Surgery 263 Farmington Ave., Farmington, CT 06030-4037 2015-05-27
1568860641 Parkcrest Orthopedics LLC Orthopaedic Surgery 508 W Pine St, Farmington, MO 63640-1426 2014-12-05
1972915072 Zachary Cavanaugh Orthopaedic Surgery 263 Farmington Ave, Marb Mc 4037, Farmington, CT 06032-1956 2014-05-22
1144664715 Olga Solovyova Orthopaedic Surgery 263 Farmington Avenue, Farmington, CT 06030 2013-04-25
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Competitor

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City FARMINGTON
Zip Code 87401

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Dataset Information

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.

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