DR. MELVIN JOHNSON (NPI# 1609951557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609951557 |
| Entity Type | Individual |
| Full Name | DR. MELVIN JOHNSON |
| Credential | MD |
| Practice Address |
2720 Sunset Blvd West Columbia SC 29169-4810 |
| Mailing Address |
Po Box 2344 Columbia SC 29202-2344 |
| Practice Telephone | 8032542394 |
| Practice Fax Number | 8032547125 |
| Mailing Telephone | 8032542394 |
| Mailing Fax Number | 8032547125 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207L00000X | Anesthesiology | 10597 | SC | Allopathic & Osteopathic Physicians |
| X | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
10597 | SC | Allopathic & Osteopathic Physicians |
| X | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
10597 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SELECT HEALTH | 105978 | 01 |
| SC | CCP | 2020125 | 01 |
| SC | 105978 | 05 | |
| SC | AETNA | 4410017 | 01 |
| SC | MEDCOST | 77840 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437655719 | Melvin Johnson | Counselor | 4138 Wells Mark Dr, Humble, TX 77346-4556 | 2018-04-04 |
| 1770974727 | Melvin Johnson | Physician Assistant | 1016 Grand National Blvd, Fort Worth, TX 76179-2336 | 2015-02-12 |
| 1477957447 | Melvin Johnson | Respiratory Therapist, Certified | 8720 Ranch Blvd, Little Rock, AR 72223-4462 | 2014-10-20 |
| 1023594298 | Melvin Johnson | Counselor | 10903 Indian Head Hwy Ste 504, Fort Washington, MD 20744-4012 | 2018-07-11 |
| 1548786429 | Melvin Johnson IIi | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2017-08-22 |
| 1003264102 | Melvin Douglas Johnson | Counselor | 1900 Monroe St, Toledo, OH 43604-6774 | 2016-05-30 |
| 1609283555 | Melvin Johnson | Counselor | 541 Quantum Rd Ne, Rio Rancho, NM 87124-4502 | 2014-07-11 |
| 1548414873 | Melvin H Johnson Jr. | Radiology | 300 North Avenue, Cancer Care Center, Battle Creek, MI 49017 | 2008-11-13 |
| 1568497675 | Melvin Russell Johnson | Internal Medicine | 4001 Coliseum Dr, Ste 310, Hampton, VA 23666-6257 | 2006-07-11 |
| 1790789782 | Melvin Julius Johnson IIi | Internal Medicine | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2005-06-08 |
| Street Address |
2720 SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708614 | William M Luce | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2005-05-27 |
| 1376144972 | Lexington Health Inc | Internal Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-11-02 |
| 1003416066 | Lexington Health Inc | Physical Therapist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
| 1962002915 | Lexington Health Inc | Emergency Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
| 1275133373 | Sean Tran | Pharmacist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-28 |
| 1538767645 | Lexington Health Inc | Radiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1083212294 | Lexington Health Inc | Radiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1942808159 | Lexington Health Inc | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1386241834 | Lexington Health Inc | General Acute Care Hospital | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-07 |
| 1609483247 | Daria Patres Spratley | Dietitian, Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194770115 | Kenneth Russell Grosslight | Anesthesiology | 3227 Sunset Blvd # F, Suite 102, West Columbia, SC 29169-3201 | 2006-05-24 |
| 1811479140 | Emily Jane King | Anesthesiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2018-09-04 |
| 1265880322 | Jonathan Carl Boguski | Anesthesiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2016-05-31 |
| 1588981948 | Allyson Wells Speaks | Anesthesiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2010-04-26 |
| 1639308034 | William C Richards | Anesthesiology | 2720 Sunset Blvd, West Columbia, SC 29169 | 2009-07-07 |
| 1962663492 | Kyle David Boyce | Anesthesiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2008-06-18 |
| 1568632529 | Jeffrey C Boyne | Anesthesiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2008-03-06 |
| 1063617900 | Erin F. Lawson | Anesthesiology | 222 East Medical Lane, Suite 200, West Columbia, SC 29169 | 2007-06-20 |
| 1447467980 | Marshall Levon French | Anesthesiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2007-05-16 |
| 1366563306 | John Stewart Cooke | Anesthesiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2007-04-03 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.