DR. SHARITA NICOLLE JOHNSON (NPI# 1598055642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598055642 |
| Entity Type | Individual |
| Full Name | DR. SHARITA NICOLLE JOHNSON |
| Credential | M.D |
| Practice Address |
117 Hospital Dr Petersburg WV 26847-9566 |
| Mailing Address |
Po Box 763 Morgantown WV 26507-0763 |
| Practice Telephone | 8005414009 |
| Mailing Telephone | 8005414009 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2017-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 27400 | WV | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 0101256435 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780247924 | Sharita Lynn Johnson | Counselor | 1889 W Redlands Blvd Unit 9, Redlands, CA 92373-3119 | 2019-04-14 |
| 1669840021 | Sharita Johnson | Social Worker | 6307 Barnwood Dr, Clinton, MD 20735-2298 | 2015-09-02 |
| 1639555063 | Sharita Lasharn Johnson | Counselor | 1307 E Elm St, Athens, AL 35611-5318 | 2015-08-07 |
| Street Address |
117 HOSPITAL DR |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847-9566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763666 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2005-07-12 |
| 1730565128 | Tri-county Emergency Physicians LLC | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2015-08-07 |
| 1316329121 | Grant Memorial Hospital | Internal Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2015-06-29 |
| 1699181859 | Grant Memorial Hospital | Health Educator | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2014-07-09 |
| 1528480712 | National Emergency Services West Virginia Inc | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2014-01-08 |
| 1659711455 | Matthew Shannon Johnson | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2013-06-26 |
| 1073786158 | John R Fischer | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2008-04-09 |
| 1265623094 | Grant Memorial Hospital | Pharmacy | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2007-08-07 |
| 1598962193 | Peter Gregory Baltusnik | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847 | 2007-06-28 |
| 1902841539 | Khaled Fathy Said | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2006-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1417568445 | Sandra Shook | Technician | 145 Army Lane, Petersburg, WV 26847 | 2020-08-13 |
| 1023590874 | Milas Robertson | Registered Nurse | 117 Hospital Drive, Petersbirg, WV 26847 | 2018-08-29 |
| 1043723851 | Cathy Lynn Arbogast | Technician | 6114 Rig Road, Rig, WV 26847 | 2017-11-15 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1770856882 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1045 North Fork Highway, Petersburg, WV 26847 | 2012-02-21 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1700055365 | Grant County Board of Education | Local Education Agency (LEA) | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2008-02-27 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| Find all providers in zip 26847 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114020351 | Emilie J Redding | Emergency Medicine | 14535 Boy Scout Trl, Petersburg, IL 62675-6230 | 2006-09-06 |
| 1104872019 | Mark Militana | Emergency Medicine | 804 South Adams Street, Petersburg, VA 23803 | 2006-05-25 |
| 1609856566 | Eniola Adebayo Okelana | Emergency Medicine | 433b S Sycamore St, Petersburg, VA 23803-5042 | 2006-01-18 |
| 1730565128 | Tri-county Emergency Physicians LLC | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2015-08-07 |
| 1447660410 | Freud Milice | Emergency Medicine | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2014-04-30 |
| 1093135196 | Michael W Cieslinski | Emergency Medicine | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2014-04-16 |
| 1528480712 | National Emergency Services West Virginia Inc | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2014-01-08 |
| 1659711455 | Matthew Shannon Johnson | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2013-06-26 |
| 1437412293 | Brendan D Mccay | Emergency Medicine | 200 Medical Park Blvd, Em: Emergency Medicine, Petersburg, VA 23805-9274 | 2012-06-18 |
| 1225398027 | Virginia Emergency Group, LLC | Emergency Medicine | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2012-05-25 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 26847 |
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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.