DR. ERIC WALTER JOHNSON (NPI# 1598054710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598054710 |
| Entity Type | Individual |
| Full Name | DR. ERIC WALTER JOHNSON |
| Credential | PH. D. |
| Practice Address |
203 Litchfield Road Norfolk CT 06058 |
| Mailing Address |
203 Litchfield Road P.o. Box 1 Norfolk CT 06058 |
| Practice Telephone | 8606895814 |
| Mailing Telephone | 8606895814 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 291U00000X | Clinical Medical Laboratory | 07D0995237 | CT | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK CQ | JOHNE2 | 01 |
| NY | NEW YORK STATE DOH CERTIFICATE OF QUALIFICATION | JOHNE2 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114773 | Eric Johnson | Homemaker | 283 Grandview Ave, Wadsworth, OH 44281-1160 | 2020-11-08 |
| 1639713324 | Eric Andrew Johnson | Counselor | 301 S 70th St # 313, Lincoln, NE 68510-2469 | 2019-11-05 |
| 1396213849 | Eric Daniel Johnson | Clinic/Center | 111 S 11th Ave Ste 122, Yakima, WA 98902-3242 | 2018-11-02 |
| 1952890816 | Eric Johnson | Pharmacist | 2351 Coulee Rd, Hudson, WI 54016-9177 | 2018-05-07 |
| 1417324138 | Eric Johnson | Dentist | 9101 Pearl St Ste 217, Thornton, CO 80229-4353 | 2015-08-28 |
| 1649665399 | Eric Johnson | Student in an Organized Health Care Education/Training Program | University of Utah University Hospital 50 N Dr, Salt Lake City, UT 84132-0001 | 2015-03-31 |
| 1124428966 | Eric Johnson | Physical Therapist | 10311 Cross Creek Blvd Ste E, Tampa, FL 33647-2989 | 2014-08-29 |
| 1467863712 | Eric Johnson | Counselor | 3784 Welland Ave, Los Angeles, CA 90018-4139 | 2014-05-08 |
| 1245656867 | Eric Craig Johnson | Counselor | 215 Benbow Ave, San Jose, CA 95123-3704 | 2014-03-06 |
| 1205252913 | Eric Johnson | Speech-Language Pathologist | 6839 Fox Run Dr, Westerville, OH 43082-8693 | 2014-03-06 |
| Street Address |
203 LITCHFIELD ROAD |
| City | NORFOLK |
| State | CT |
| Zip Code | 06058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083780092 | Judith P Tsukroff | Marriage & Family Therapist | 58 Greenwoods Rd W, Norfolk, CT 06058-0483 | 2006-11-28 |
| 1275629099 | Edith Petrello Heath | Psychologist | 400 North Street, Norfolk, CT 06058-0562 | 2006-10-05 |
| 1013040401 | Paul A Gibilisco | Internal Medicine | 72 Shepard Rd, Norfolk, CT 06058-1125 | 2007-03-14 |
| 1649662388 | Edie Hochberg Hofstatter | Occupational Therapist | 90 Greenwoods Rd W, Norfolk, CT 06058-1249 | 2015-03-03 |
| 1760807754 | Sara Heller | Counselor | 39 Grant St, Norfolk, CT 06058-1327 | 2014-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457195 | John Cayo | Student in an Organized Health Care Education/Training Program | 715 Stockley Gdns Apt 1, Norfolk, VA 23507-2025 | 2020-11-08 |
| 1770184434 | Jacob Solomon Morrill | Physician Assistant | 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 | 2020-11-07 |
| 1245831403 | Julia Patrice Watkins | Community Health Worker | 254 W Bay Ave # F112, Norfolk, VA 23503-4564 | 2020-11-04 |
| 1710587712 | Shiela Kaye Chua Crisostomo | Student in an Organized Health Care Education/Training Program | 3916 Gosnold Ave, Norfolk, VA 23508-2916 | 2020-10-28 |
| 1518567627 | Emily Apkarian | Social Worker | 923 E Ocean View Ave, Norfolk, VA 23503-1909 | 2020-10-28 |
| 1770183774 | Shero Counseling Agency | Counselor | 117 W 21st St Ste 215b, Norfolk, VA 23517-2246 | 2020-10-28 |
| 1326648460 | Jennifer Presnell-ocon | Physical Therapy Assistant | 6201 E Virginia Beach Blvd, Norfolk, VA 23502-2824 | 2020-10-28 |
| 1194325571 | Kelly R Powles | Physical Therapist | 6201 E Virginia Beach Blvd Ste 110, Norfolk, VA 23502-2824 | 2020-10-27 |
| 1225637028 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 6251 E Virginia Beach Blvd Ste 135, Norfolk, VA 23502-2824 | 2020-10-22 |
| 1396344313 | Ascension Medical Transportation | Non-emergency Medical Transport (VAN) | 1035 W 25th St Ste D5, Norfolk, VA 23517-1000 | 2020-10-21 |
| Find all providers in NORFOLK | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427614551 | Fountain Point Laboratory LLC | Clinical Medical Laboratory | 3901 W Norfolk Ave Ste E, Norfolk, NE 68701-9211 | 2019-05-14 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1760572291 | Tidewater Dermatopathology Service, Inc | Clinical Medical Laboratory | 601 Medical Tower, Norfolk, VA 23507 | 2006-10-13 |
| 1619937281 | Chesapeake Dermatopathology & Dermatology, P.C. | Clinical Medical Laboratory | 580 Mowbray Arch, Norfolk, VA 23507-2130 | 2006-03-27 |
| 1396357901 | Sentara Reference Lab Solutions, LLC | Clinical Medical Laboratory | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-08-17 |
| 1811524572 | Sentara Reference Lab Solutions, LLC | Clinical Medical Laboratory | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-03-24 |
| 1811492986 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 305 N 37th St, Norfolk, NE 68701 | 2018-03-29 |
| 1295253987 | Tidewater Diagnostic Consultants, LLC | Clinical Medical Laboratory | 5215 Colley Ave, Norfolk, VA 23508-2166 | 2017-09-01 |
| 1174988448 | Regional West Medical Center | Clinical Medical Laboratory | 305 N 37th St, Norfolk, NE 68701-3275 | 2015-12-30 |
| 1134421522 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 31 Pine St, 1st Floor, Rear, Norfolk, MA 02056-1642 | 2010-11-17 |
| Find all providers in NORFOLK | ||||
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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.