DR. DIANNE LAROCHE JOHNSON (NPI# 1538150610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538150610 |
| Entity Type | Individual |
| Full Name | DR. DIANNE LAROCHE JOHNSON |
| Other Name | DIANNE LAROCHE HAM |
| Credential | M.D. |
| Practice Address |
3599 University Blvd. S. Bldg. 300 Jacksonville FL 32216-0000 |
| Practice Telephone | 9043995550 |
| Practice Fax Number | 9043464334 |
| Mailing Telephone | 9043995550 |
| Mailing Fax Number | 9043464334 |
| Enumeration Date | 2005-10-29 |
| Last Update Date | 2017-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME93196 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 275351100 | 05 | |
| GA | 109749741A | 05 | |
| GA | RAILROAD MEDICARE | P00319147 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356901870 | Dianne Johnson | Rehabilitation Practitioner | 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 | 2019-06-17 |
| 1699297655 | Dianne Johnson | Nurse Practitioner | 1201 Sam Perry Blvd Ste 280, Fredericksburg, VA 22401-8400 | 2017-07-12 |
| 1093183485 | Dianne Johnson | Physical Therapist | 2785 Gulf Fwy S, Suite 125, League City, TX 77573-4979 | 2015-09-02 |
| 1922384320 | Dianne Stanford Johnson | Social Worker | 601 Bombay Ln, Roswell, GA 30076-5828 | 2011-10-29 |
| 1801104773 | Dianne C Johnson | Nurse Practitioner | 751 Forest Ave, Suite 202, Zanesville, OH 43701-2868 | 2010-09-14 |
| 1245324623 | Dianne Johnson | Obstetrics & Gynecology | 1010 Spruce St, Espanola Multispecialty Clinic, Espanola, NM 87532-2724 | 2006-10-03 |
| 1588625362 | Dianne Flowers Johnson | Pathology | 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 | 2006-03-31 |
| 1306811419 | Dianne E Johnson | Nurse Practitioner | 39 Edgerton Dr, North Falmouth, MA 02556-2821 | 2006-02-22 |
| Street Address |
3599 UNIVERSITY BLVD. S. BLDG. 300 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356537492 | Andrew Dominic Mcbride | Radiology | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 | 2007-09-21 |
| 1710173265 | Rebecca Leah Glass | Physician Assistant | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216-0000 | 2007-09-19 |
| 1972701001 | Gregory Blair Stringfellow | Radiology | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216-0000 | 2007-07-10 |
| 1649473737 | Derek J Schemmel | Radiology | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 | 2007-06-07 |
| 1003018342 | Brian Bishop Moon | Radiology | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 | 2007-05-31 |
| 1700821147 | Brad Douglas Talley | Radiology | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 | 2006-06-19 |
| 1316912587 | Catherine Jane Bailey | Physician Assistant | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216-0000 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596471 | Summerlin Imaging Center LLC | Radiology | 3550 University Blvd S Ste 102, Jacksonville, FL 32216-4227 | 2019-09-10 |
| 1275038671 | William Austin Forshee | Radiology | 655 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2018-03-27 |
| 1316449267 | F&s Radiology, P.C. | Radiology | 10045 Richton Ct, Jacksonville, FL 32246-1885 | 2018-03-07 |
| 1679025522 | Diagnostic Imaging Partners | Radiology | 2000 Brabham Avenue, Suite 110, Jacksonville, NC 28546 | 2016-10-26 |
| 1689052359 | Coastal Vein & Vascular Institute, LLC | Radiology | 7741 Point Meadows Dr, Unit 104-106, Jacksonville, FL 32256-9182 | 2015-05-13 |
| 1316385024 | Matthew Hal Jenson | Radiology | 655 W 8th St # C-90, Jacksonville, FL 32209-6511 | 2013-06-05 |
| 1740557917 | Rmed LLC | Radiology | 4348 Southpoint Blvd., Suite 100c, Jacksonville, FL 32216-0903 | 2011-11-16 |
| 1952618324 | Edgardo Alberto Agrait-bertran | Radiology | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 | 2010-09-08 |
| 1477788982 | David A Walker Md Pa | Radiology | 8040 Woodpecker Trl, Jacksonville, FL 32256-7333 | 2009-05-28 |
| 1245465343 | Kyle Hayden | Radiology | 1303 Greenridge Rd, Jacksonville, FL 32207-5334 | 2009-05-19 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on DR. DIANNE LAROCHE JOHNSON.
| 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.