JUSTIN T JOHNSON DPM INC. (NPI# 1407145568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407145568 |
| Entity Type | Organization |
| Organization Name | JUSTIN T JOHNSON DPM INC. |
| Other Organization Name | ANKLE AND FOOT SPECIALISTS OF SOUTHERN OREGON |
| Practice 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 | 2011-03-29 |
| Last Update Date | 2013-08-19 |
| Authorized Official Name | JUSTIN THEO JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 5414824924 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DP00440 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NPI | 1336328624 | 01 |
| Other Name | Type Code |
|---|---|
| Ankle and Foot Specialists of Southern Oregon | Doing Business As Name - Organization |
| Street Address |
1661 HWY 99 N STE 201 |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520-8900 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1336328624 | Justin Theo Johnson | Podiatrist | 1661 Highway 99 N, Ste 201, Ashland, OR 97520-8900 | 2007-11-02 |
| Find all providers in ASHLAND | ||||
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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.