KATHERINE MICHELLE JOHNSON (NPI# 1619393899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619393899 |
| Entity Type | Individual |
| Full Name | KATHERINE MICHELLE JOHNSON |
| Credential | D.O. |
| Practice Address |
29751 Little Mack Ave Ste B Roseville MI 48066 |
| Mailing Address |
29751 Little Mack Ave Ste B Roseville MI 48066-6504 |
| Practice Telephone | 5864156200 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 5101021006 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447738232 | Katherine Johnson | Behavioral Analyst | 1000 Sunnyside Ave Bldg Room4001, Lawrence, KS 66045-6521 | 2018-08-02 |
| 1255857496 | Katherine Johnson | Pharmacist | 1501 N Campbell Ave Pharmacy Services Box 245009, Tucson, AZ 85724-0001 | 2017-08-18 |
| 1497279137 | Katherine Ryan Johnson | Nurse Practitioner | 1532 Robert E. Lee Blvd, New Orleans, LA 70122 | 2017-08-02 |
| 1699220707 | Katherine Anne Williams Johnson | Nurse Practitioner | 947 Scotland Dr, Suite #107, Desoto, TX 75115-2090 | 2016-08-18 |
| 1407279300 | Katherine Johnson | Pharmacist | 6388 W Pontiac Dr, Glendale, AZ 85308-6666 | 2014-01-28 |
| 1962830166 | Katherine Eileen Johnson | Occupational Therapist | 2932 N Damen Ave, Apartment 2, Chicago, IL 60618-8206 | 2013-10-24 |
| 1821436981 | Katherine Jo Johnson | Veterinarian | 5624 State Route 5, Herkimer, NY 13350-3513 | 2013-06-11 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1205101110 | Katherine Wood Johnson | Nurse Practitioner | 4805 Columbia Pike, Thompsons Station, TN 37179-5207 | 2012-03-12 |
| 1649551185 | Katherine Johnson | Music Therapist | 13270 Sw Allen Blvd, Apt 3, Beaverton, OR 97005-4558 | 2011-08-29 |
| Street Address |
29751 LITTLE MACK AVE STE B |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615006 | Kelsey Lynn Horek | Advanced Practice Midwife | 29751 Little Mack Ave Ste B, Roseville, MI 48066-6504 | 2020-07-03 |
| 1942759543 | Kelly A Lewis | Advanced Practice Midwife | 29751 Little Mack Ave Ste B, Roseville, MI 48066-6504 | 2016-09-25 |
| 1679956999 | Sara Haidar | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066-6504 | 2015-07-06 |
| 1376957399 | Nicole Marie Gallagher | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066-6504 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1497997928 | David Paul Caplan | Optometrist | 31720 Gratiot Ave., Roseville, MI 48066 | 2009-03-30 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649537846 | Irwin A Herman | Obstetrics & Gynecology | 7372 Timberrose Way, Roseville, CA 95747-8302 | 2012-04-12 |
| 1407080799 | Andrea T Garland | Obstetrics & Gynecology | 2110 Professional Dr Ste 105, Roseville, CA 95661-3778 | 2009-05-14 |
| 1932378478 | Reem Basim Shakir | Obstetrics & Gynecology | 20769 E 13 Mile Rd, Roseville, MI 48066-4503 | 2008-02-28 |
| 1396857892 | Brian G Kelly | Obstetrics & Gynecology | 25959 Kelly Road, Suite B, Roseville, MI 48066 | 2006-08-31 |
| 1841267960 | Denise Lora Sweeney | Obstetrics & Gynecology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2868 | 2006-03-07 |
| 1366419491 | Associates In Womens Health Care | Obstetrics & Gynecology | 5 Medical Plaza Dr Ste 250, Roseville, CA 95661-2868 | 2006-03-07 |
| 1861467615 | Rita Biesen-bradley, M.d., Inc. | Obstetrics & Gynecology | 8207 Sierra College Blvd, 500, Roseville, CA 95661-9407 | 2006-02-22 |
| 1184618654 | Melissa Ann Johnson | Obstetrics & Gynecology | 3 Medical Plaza Dr Ste 260, Roseville, CA 95661-3089 | 2005-09-09 |
| 1831549823 | Minder Kaur Bal | Obstetrics & Gynecology | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2016-06-21 |
| 1679956999 | Sara Haidar | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066-6504 | 2015-07-06 |
| Find all providers in ROSEVILLE | ||||
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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.