CLIFFORD JOHNSON JR. (NPI# 1578585725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578585725 |
| Entity Type | Individual |
| Full Name | CLIFFORD JOHNSON JR. |
| Practice Address |
1802 S. Mattis Ave. Champaign IL 61821-5923 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2173833260 |
| Practice Fax Number | 2173834459 |
| Mailing Telephone | 2173836792 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
036102230 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DMERC # | 0533210001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629302898 | Clifford James Johnson | Hearing Instrument Specialist | 15816 N. Penn., Ste 2, Edmond, OK 73013 | 2009-09-22 |
| 1003967456 | Clifford John Johnson | Family Medicine | 7320 179th St Sw, Edmonds, WA 98026-5534 | 2007-01-14 |
| 1629407564 | Clifford Johnson Jr. | Licensed Practical Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2013-11-01 |
| 1306145396 | Clifford William Johnson Jr. | Hearing Instrument Specialist | 4015 Governor Dr, Miracle-ear Center, San Diego, CA 92122-2522 | 2011-03-16 |
| 1952630519 | Clifford Johnson | Social Worker | 317 N Main St, Manchester, CT 06042-2007 | 2009-12-10 |
| 1730319831 | Clifford Jeron Johnson | Counselor | 1037 Pathfinder Way, Suite130, Rockledge, FL 32955-3242 | 2009-07-23 |
| 1336366723 | Clifford L Johnson | Dentist | 4060 Johns Creek Pkwy, Suite A, Suwanee, GA 30024-1254 | 2007-04-19 |
| 1154499234 | Clifford Dean Johnson | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| 1174579940 | Clifford Paul Johnson | Urology | 50 Hospital Dr, Suite 2a, Hendersonville, NC 28792-5244 | 2006-05-25 |
| 1538137542 | Clifford G Johnson | Internal Medicine | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2006-03-08 |
| Street Address |
1802 S. MATTIS AVE. |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164548285 | Brandi J Hughes | Occupational Therapist | 1802 S. Mattis Ave., Champaign, IL 61821-5923 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982704102 | James K Sobeski | Orthopaedic Surgery | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1639692973 | Oa Associated LLC | Orthopaedic Surgery | 1414 Cross St Ste 110, Shiloh, IL 62269-2988 | 2017-07-19 |
| 1932376092 | Felicity Fishman | Orthopaedic Surgery | 2160 S 1st Ave Ste 1700, Maywood, IL 60153-3328 | 2008-05-08 |
| 1548466725 | Emily Anne Gilley | Orthopaedic Surgery | 1000 N Westmoreland Rd # Level3, Lake Forest, IL 60045 | 2007-06-25 |
| 1942406558 | Chirag Mukund Shah | Orthopaedic Surgery | 737 N Michigan Ave Ste 700, Chicago, IL 60611-6662 | 2007-06-22 |
| 1518185438 | The Board of Trustees of The University of Illinois | Orthopaedic Surgery | 835 S Wolcott St, Chicago, IL 60612-7342 | 2007-04-23 |
| 1679798565 | Michael Victor Birman | Orthopaedic Surgery | 515 W Algonguin Rd., Hand Surgery Associates, S.c., Arlington Heights, IL 60005 | 2007-04-16 |
| 1518020080 | Orhan Kaymakcalan | Orthopaedic Surgery | 2755 West 15th St, Room M302, Chicago, IL 60608 | 2006-12-18 |
| 1992871347 | Marko F Krpan | Orthopaedic Surgery | 415 E Congress Pkwy Ste A, Crystal Lake, IL 60014-6248 | 2006-11-28 |
| 1841383031 | Scott D Sagerman | Orthopaedic Surgery | 515 W Algonquin Rd, Ste 120, Arlington Heights, IL 60005-4405 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
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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.