KELLY JOHNSON (NPI# 1497165450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497165450 |
| Entity Type | Individual |
| Full Name | KELLY JOHNSON |
| Credential | MD |
| Practice Address |
1601 Sw Archer Rd Gainesville FL 32608-1135 |
| Practice Telephone | 3523761611 |
| Mailing Telephone | 3523761611 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME139549 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEPARTMENT OF HEALTH | ME139549 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Sw Archer Rd Box 100247, Gainesville, FL 326101135 | 3522736815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631249 | Kelly Lynn Johnson | Occupational Therapist | 22123 Figueroa St Unit 113, Carson, CA 90745-4464 | 2020-05-21 |
| 1851932404 | Kelly Christine Johnson | Nurse Practitioner | 7319 Stonerock Cir # 106, Orlando, FL 32819-8002 | 2019-10-04 |
| 1083274989 | Kelly Danielle Johnson | Registered Nurse | 76 Dubois Ct Apt D, Englewood, NJ 07631-3439 | 2019-06-13 |
| 1871151365 | Kelly Johnson | Family Medicine | 103 S White Oak Rd, White Oak, TX 75693-1517 | 2019-05-30 |
| 1194288753 | Kelly Mills Johnson | Psychologist | 100 Bush St Ste 918, San Francisco, CA 94104-3950 | 2019-04-10 |
| 1700345345 | Kelly Marlene Johnson | Nurse Practitioner | 1320 E Oklahoma Ave, Guthrie, OK 73044-3757 | 2019-03-13 |
| 1891253597 | Kelly Marie Johnson | Specialist/Technologist | 1472 Mobley Ct, Frederick, MD 21701-9113 | 2019-03-12 |
| 1447744347 | Kelly Theresa Johnson | Speech-Language Pathologist | 5272 River Rd Ste 100, Bethesda, MD 20816-1454 | 2018-06-14 |
| 1962902882 | Kelly M Johnson | Licensed Vocational Nurse | 118 Brazos Ln, Kyle, TX 78640-5289 | 2018-02-16 |
| 1427573476 | Kelly Colleen Johnson | Social Worker | 2530 Meridian Parkway, Suite 300, Pbn: 3071, Durham, NC 27713-2771 | 2017-08-11 |
| Street Address |
1601 SW ARCHER RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326042177 | Laura Carter Smoot | Pharmacist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2005-06-09 |
| 1518567411 | Tommy Leon Coffey Jr. | Physical Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-10-29 |
| 1801401666 | Megan L Turnage | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-09 |
| 1437763596 | Dorothea Lynn Parker | Registered Nurse | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-04 |
| 1598379950 | Sara Rose Belmore | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-03 |
| 1962016592 | Dierdre Cooper | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-01 |
| 1659984979 | Alejandro J. Gutierrez | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-08-26 |
| 1285244129 | Jenna Bradley | Speech-Language Pathologist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-08-05 |
| 1356950091 | Briana Ballister | Pharmacist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-07-29 |
| 1124637079 | Carolina Liriano | Pharmacist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386059368 | Jonathan Wirick Angelle | Urology | 1240 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501-3861 | 2014-06-27 |
| 1164849303 | Julia Han | Urology | 1600 Sw Archer Rd Rm N-203, Gainesville, FL 32610-0247 | 2014-03-26 |
| 1083635494 | Perinchery Narayan | Urology | 3426 Nw 43rd St, Suite B, Gainesville, FL 32606-8105 | 2006-07-21 |
| 1528084183 | Christopher Michael Cassisi | Urology | 6420 Nw 9 Blvd, Gainesville, FL 32605 | 2006-07-15 |
| 1669415667 | Sean Patrick Mclaughlin | Urology | 6420 Nw 9th Blvd, Gainesville, FL 32605-4203 | 2006-06-14 |
| 1821041476 | Brent A Sharpe | Urology | 660 Lanier Park Dr Ste A, Gainesville, GA 30501-2075 | 2006-05-17 |
| 1639128168 | Martin Neil Rifkin | Urology | 1179 Nw 64th Ter, Gainesville, FL 32605-4218 | 2006-05-10 |
| 1114926912 | Ronald Leroy Brock | Urology | 660 Lanier Park Drive, Ste A, Gainesville, GA 30501-2075 | 2005-07-14 |
| 1063419281 | William Bird Jones | Urology | 660-a Lanier Park Drive, Gainesville, GA 30501-2075 | 2005-07-01 |
| 1770104473 | Advanced Urology Institute of Georgia PC | Urology | 601 Broad St Se Ste B, Gainesville, GA 30501-3718 | 2020-05-04 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
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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.