DR. KEELY JOHNSON (NPI# 1457811325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457811325 |
| Entity Type | Individual |
| Full Name | DR. KEELY JOHNSON |
| Credential | MD, MPH |
| Practice Address |
7901 Broadway # A1-16 Elmhurst NY 11373-1329 |
| Mailing Address |
2711 Turtle Creek Ovi Trl Flagstaff AZ 86005-3696 |
| Practice Telephone | 5308308820 |
| Mailing Telephone | 5308308820 |
| Mailing Fax Number | 5308308820 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | A06070945 | 05 |
| Street Address |
7901 BROADWAY # A1-16 |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407274673 | James Nguyen | Student in an Organized Health Care Education/Training Program | 7901 Broadway # A1-16, A1-16, Elmhurst, NY 11373-1329 | 2014-04-03 |
| 1073140174 | Fatima Cheema | Student in an Organized Health Care Education/Training Program | 7901 Broadway # A1-16, Elmhurst, NY 11373-1329 | 2020-03-26 |
| 1649733783 | Daniel Aiden Schwartz | Student in an Organized Health Care Education/Training Program | 7901 Broadway # A1-16, Elmhurst, NY 11373-1329 | 2019-04-06 |
| 1104387877 | Manuel Alejandro Davila-molina | Student in an Organized Health Care Education/Training Program | 7901 Broadway # A1-16, Elmhurst, NY 11373-1329 | 2019-03-26 |
| 1225598642 | Tushara Edupghanti | Student in an Organized Health Care Education/Training Program | 7901 Broadway # A1-16, Elmhurst, NY 11373-1329 | 2019-03-21 |
| 1336609007 | Chinar Gautambhai Patel | Student in an Organized Health Care Education/Training Program | 7901 Broadway # A1-16, Elmhurst, NY 11373-1329 | 2019-03-20 |
| 1629538384 | Umaima Dhamrah | Student in an Organized Health Care Education/Training Program | 7901 Broadway # A1-16, Elmhurst, NY 11373-1329 | 2019-03-20 |
| 1174028955 | Arpita A Joshi | Student in an Organized Health Care Education/Training Program | 7901 Broadway # A1-16, Elmhurst, NY 11373-1329 | 2018-03-26 |
| 1093219347 | Abdullah Mohammad Tahir | Student in an Organized Health Care Education/Training Program | 7901 Broadway # A1-16, Elmhurst, NY 11373-1329 | 2018-03-21 |
| 1558865147 | Kyle Raynor Wicomb | Student in an Organized Health Care Education/Training Program | 7901 Broadway # A1-16, Elmhurst, NY 11373-1329 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1093339061 | Theodore Rodolfo Harrold | Student in an Organized Health Care Education/Training Program | 671 S Fairview Ave, Elmhurst, IL 60126-4232 | 2020-06-04 |
| 1790309391 | Sarah H Lazaros | Student in an Organized Health Care Education/Training Program | 7901 Broadway Rm A1-t1, Elmhurst, NY 11373-1329 | 2020-05-31 |
| 1780207456 | Suzanne Hamby | Student in an Organized Health Care Education/Training Program | 267 S Kenmore Ave, Elmhurst, IL 60126-3519 | 2020-05-28 |
| 1922628627 | Yingying Chen | Student in an Organized Health Care Education/Training Program | 7901 Broadway Rm A7-34, Elmhurst, NY 11373-1329 | 2020-04-22 |
| 1538788948 | Swe Swe Hlaing | Student in an Organized Health Care Education/Training Program | 8201 Britton Ave Apt 5b, Elmhurst, NY 11373-2460 | 2020-04-15 |
| 1811524853 | Branden Yousef Ireifej | Student in an Organized Health Care Education/Training Program | 7901 Broadway Rm A1-a6, Elmhurst, NY 11373-1329 | 2020-03-26 |
| 1366077224 | Nina Luksanapol | Student in an Organized Health Care Education/Training Program | 9431 59th Ave Apt 1k, Elmhurst, NY 11373-5170 | 2020-03-10 |
| Find all providers in ELMHURST | ||||
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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.