DR. JEFFREY DEAN JOHNSON (NPI# 1588650527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588650527 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DEAN JOHNSON |
| Credential | MD |
| Practice Address |
2849 Michigan St Ne Suite 102 Grand Rapids MI 49506-1216 |
| Practice Telephone | 6162856450 |
| Practice Fax Number | 6162856455 |
| Mailing Telephone | 6162856450 |
| Mailing Fax Number | 6162856455 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301068529 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 0804108642 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114570652 | Jeffrey C. Johnson | Dentist | 250 Route 4 Ste 101, Hagatna, GU 96910-7110 | 2019-07-23 |
| 1144725391 | Jeffrey Phillip Johnson | Speech-Language Pathologist | 635 Commonwealth Ave Rm 326, Boston, MA 02215-1605 | 2018-03-29 |
| 1730684903 | Jeffrey Pace Johnson | Student in an Organized Health Care Education/Training Program | 750 E Adams St Rm 1816, Syracuse, NY 13210-2306 | 2018-03-28 |
| 1992256374 | Jeffrey S. Johnson | Counselor | 108 Okemos St, Mason, MI 48854-1263 | 2016-10-20 |
| 1598156713 | Jeffrey Johnson | Counselor | 3057 Acushnet Ave, New Bedford, MA 02745-3636 | 2015-02-10 |
| 1336542885 | Jeffrey Johnson | Physical Therapy Assistant | 563 S Grant St, Denver, CO 80209-4105 | 2014-09-29 |
| 1992110894 | Jeffrey Johnson | Dentist | 2120 Virginia Dr, Wichita Falls, TX 76309-4646 | 2014-06-30 |
| 1093125916 | Jeffrey William Johnson | Psychologist | 105 High Street, Warren, OH 44483-5195 | 2014-04-30 |
| 1922373851 | Jeffrey A. Johnson | Social Worker | 28 Roe Ln, Howell, NJ 07731-9071 | 2012-03-10 |
| 1962776039 | Jeffrey Johnson | Veterinarian | 1405 Bradford Way, Redding, CA 96003-4074 | 2012-03-06 |
| Street Address |
2849 MICHIGAN ST NE SUITE 102 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063408136 | James Edward Flood | Family Medicine | 2849 Michigan St Ne, Suite 102, Grand Rapids, MI 49506-1216 | 2005-09-23 |
| 1275001034 | Kirk Agerson Md PC | Clinic/Center | 2849 Michigan St Ne, Grand Rapids, MI 49506-1216 | 2018-11-08 |
| 1811276694 | Ashley Huggler | Physician Assistant | 2849 Michigan St Ne, Grand Rapids, MI 49506-1216 | 2011-08-10 |
| 1194031104 | Melissa Leigh Owens | Physical Therapist | 2849 Michigan St Ne, Grand Rapids, MI 49506-1216 | 2010-08-27 |
| 1629220835 | Owens Physical Therapy Specialists, LLC | Physical Therapist | 2849 Michigan St Ne, Suite 100, Grand Rapids, MI 49506-1216 | 2008-10-21 |
| 1558578641 | Molly Jean Paulson | Physician Assistant | 2849 Michigan St Ne, Suite 102, Grand Rapids, MI 49506-1216 | 2007-05-17 |
| 1588722136 | James Owens | Physical Therapist | 2849 Michigan St Ne, Suite 100, Grand Rapids, MI 49506-1216 | 2006-12-05 |
| 1306951256 | A F Associates Family Medicine PC | Family Medicine | 2849 Michigan St Ne, 102, Grand Rapids, MI 49506-1216 | 2006-08-20 |
| 1245226380 | Kirk Joseph Agerson | Family Medicine | 2849 Michigan St Ne, Suite 102, Grand Rapids, MI 49506-1216 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239974 | Mercy Health Partners | Family Medicine | 826 Parchment Dr Se Ste 210, Grand Rapids, MI 49546-2307 | 2020-06-16 |
| 1740810563 | Spectrum Health Primary Care Partners | Family Medicine | 435 Ionia Ave Sw, Grand Rapids, MI 49503-5161 | 2020-01-21 |
| 1932748050 | Alexander Corcoran Pa-c LLC | Family Medicine | 2340 College Ave Se, Grand Rapids, MI 49507-3108 | 2020-01-06 |
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1619463775 | Zlex, Pllc | Family Medicine | 847 Parchment Dr Se Ste 100, Grand Rapids, MI 49546-2303 | 2018-07-02 |
| 1558856518 | Leland Cary Gyr | Family Medicine | 25 Michigan St Ne Ste 5300, Grand Rapids, MI 49503-2515 | 2018-06-22 |
| 1982126355 | Jeffrey Dufresne | Family Medicine | 300 Lafayette Ave. Se, Grand Rapids, MI 49503 | 2017-07-07 |
| 1386165157 | Samantha V Mcpharlin | Family Medicine | 300 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503 | 2017-07-03 |
| 1639699481 | Andrew R Izzo | Family Medicine | 3200 Eagle Park Dr Ne Ste 102, Grand Rapids, MI 49525-7057 | 2017-06-22 |
| 1871908970 | Marc Arenas | Family Medicine | 245 Cherry St Se Ste 200, Grand Rapids, MI 49503 | 2014-06-26 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on DR. JEFFREY DEAN 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.