KEATON ALLYN JOHNSON


Address: Madigan Army Medical Center, Tacoma, WA 98431-5318
Phone: 2539681110

KEATON ALLYN JOHNSON (NPI# 1508350539) 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) 1508350539
Entity Type Individual
Full Name KEATON ALLYN JOHNSON
Credential PA-C
Practice Address Madigan Army Medical Center
Tacoma
WA 98431-5318
Mailing Address 9040 Jackson Ave
Tacoma
WA 98431-1110
Practice Telephone 2539681110
Enumeration Date 2018-06-22
Last Update Date 2019-03-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
650 Joel Dr, Fort Campbell, KY 422235318 2707988400

Office Location

Street Address MADIGAN ARMY MEDICAL CENTER
City TACOMA
State WA
Zip Code 98431-5318

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770577322 Bernice Joann Wilder Registered Nurse Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA 98438-1336 2005-09-09
1013569466 Bradley Eugene Foster Licensed Practical Nurse Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mcln-clq-c, Tacoma, WA 98431-1100 2019-07-15
1245702794 Theresa Lynn Abrahamson Registered Nurse Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2018-12-21
1437629953 Laura Peratino Registered Nurse Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2018-11-27
1568937837 Gregory Gogue Tainatongo Emergency Medical Technician, Basic Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2018-10-12
1689157935 Barbara Hewitt Registered Nurse Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2018-09-12
1073006235 Jonathan Daniel Clemons Physician Assistant Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA 98431-1100 2018-06-12
1457841397 Tiffany Lefebre Emergency Medical Technician, Basic Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2018-05-16
1619473683 Kristin Michelle Lacer Registered Nurse Madigan Army Medical Center, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431 2018-03-30
1932602059 Tara M Lopez Registered Nurse Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2018-03-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1831663442 Noah C Chance Physician Assistant 9040 Jackson Ave Attn:credentials, Tacoma, WA 98431-4604 2019-01-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
1518448539 Kimberly Bui Physician Assistant 112 S 8th St Ste 200, Tacoma, WA 98402-5294 2018-08-27
1568942621 Michelle Lynn Scott Physician Assistant 1201 Pacific Ave Ste C6, Tacoma, WA 98402-4393 2018-08-17
1548770670 Bradley Richard Poe Physician Assistant 209 M.l.k. Jr Way, Tacoma, WA 98405 2017-10-03
1326588369 Alyssa K. Leaning Physician Assistant 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 2017-02-23
1356609218 Rebecca Ann Sciandra Physician Assistant 9040a Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-7037 2012-04-30
1023392529 Kristie Michelle Mattern Physician Assistant 5427 S Birmingham St, Tacoma, WA 98409-5417 2011-10-03
1700100385 Colleen Anne Carette Physician Assistant 1500 N. Warner St., #1035, Tacoma, WA 98416-1035 2010-03-25
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Competitor

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City TACOMA
Zip Code 98431

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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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