DR. DANIEL B JOHNSON (NPI# 1619954062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619954062 |
| Entity Type | Individual |
| Full Name | DR. DANIEL B JOHNSON |
| Credential | M.D. |
| Practice Address |
1351 W Central Park Ave Suite 3300 Davenport IA 52804-1889 |
| Practice Telephone | 5633832667 |
| Practice Fax Number | 5633832672 |
| Mailing Telephone | 5633832667 |
| Mailing Fax Number | 5633832672 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2011-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
23966 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0160679211 | 05 | |
| WELLMARK | 21034 | 01 | |
| IA | 0210344 | 05 | |
| JOHN DEERE HEALTHCARE | A63102 | 01 | |
| IA | RAILROAD MEDICARE | 130005146 | 01 |
| UNITED HEALTHCARE | 1765969 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1780154997 | Daniel Joseph Johnson | Contractor | 234 Columbia St, Mondovi, WI 54755-1104 | 2018-11-29 |
| 1295229722 | Daniel Darius Johnson | Dentist | 6109 E Highway 191, Odessa, TX 79762-5348 | 2018-06-18 |
| 1770009912 | Daniel Malcolm Johnson | Speech-Language Pathologist | 6201 Nw Friberg Strunk St, Camas, WA 98607-7697 | 2017-08-18 |
| 1780090761 | Daniel R Johnson | Nutritionist | Ihs Pinon Health Center Navajo Rt 4, Pinon, AZ 86510 | 2014-07-10 |
| 1639437650 | Daniel V Johnson | Dentist | 1575 20th St Nw Ste 102, Faribault, MN 55021-2932 | 2012-04-27 |
| 1629342712 | Daniel Thomas Johnson | Veterinarian | 7654 Campus View Dr, West Jordan, UT 84084-5630 | 2012-03-07 |
| 1619250123 | Daniel C Johnson | Dentist | 1005 W 38th St Ste 200, Austin, TX 78705-1042 | 2011-09-21 |
| 1285966945 | Daniel Adam Johnson | Military Health Care Provider | 8697 S Desert Rainbow Dr, Tucson, AZ 85747-5032 | 2010-02-05 |
| 1467686196 | Daniel James Johnson | Emergency Medicine | 3778 Ridge Rd, Nederland, CO 80466-9712 | 2009-05-09 |
| Street Address |
1351 W CENTRAL PARK AVE SUITE 3300 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52804-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720649 | Danita K Harrison | Nurse Practitioner | 1351 W Central Park Ave, Ste 350, Davenport, IA 52804-1889 | 2005-06-20 |
| 1295279602 | Transitions Nfp | Community/Behavioral Health | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2016-12-05 |
| 1023462108 | Kerry Miller | Nurse Practitioner | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2016-04-14 |
| 1568851913 | Sherrel Fry | Nurse Practitioner | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2015-01-22 |
| 1427485697 | Genesis Health System | Family Medicine | 1351 W Central Park Ave, Suite 4100, Davenport, IA 52804-1853 | 2013-10-03 |
| 1497031538 | Alyssa L Uker | Nurse Practitioner | 1351 W Central Park Ave, Suite 4300, Davenport, IA 52804-1853 | 2011-11-02 |
| 1043523491 | Julia A Hull | Nurse Practitioner | 1351 W Central Park Ave, Suite 360, Davenport, IA 52804-1853 | 2010-07-14 |
| 1699092064 | Denise Walsh Mcmonagle | Physical Medicine & Rehabilitation | 1351 W Central Park Ave, Suite 1225, Davenport, IA 52804-1853 | 2010-04-26 |
| 1972831410 | Wound Management Consultants P.C. | Emergency Medicine | 1351 W Central Park Ave, Suite 1225, Davenport, IA 52804-1853 | 2009-11-20 |
| 1396904462 | Joseph Earl Brooks | Physical Medicine & Rehabilitation | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948467 | Tess Nelson | Physical Medicine & Rehabilitation | 2535 Maplecrest Rd Suite 23, Bettendorf, IA 52804 | 2017-12-26 |
| 1124494380 | Erica Lauren Hempel Bucy | Social Worker | 1333 W. Lombard St. Ste C, Davenport, IA 52804 | 2015-08-11 |
| 1477859890 | Kristin L West | Registered Nurse | 1441 W. Centrral Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 | 2011-02-02 |
| 1679877625 | Linda Marie Crownover-inch | Doula | 1420 W 16th Street, #412, Davenport, IA 52804 | 2011-01-05 |
| 1124169032 | Lawrence R Huber | Dentist | 2305 Jersey Ridge Rd, Davenport, IA 52804 | 2007-02-12 |
| 1669532388 | Providence Therapy Services LLC | Physical Therapist | 21037 Holden Drive, Davenport, IA 52804 | 2006-12-11 |
| 1639183171 | Megan Denise Long | Occupational Therapist | 31037 Holden Dr, Davenport, IA 52804 | 2006-07-28 |
| 1811919772 | Theresa L Schlabach | Occupational Therapist | 21037 Holden Dr, Davenport, IA 52804 | 2006-07-23 |
| 1225097843 | William M Nissen | Psychiatry & Neurology | 1441 W Central Park, Davenport, IA 52804 | 2006-03-22 |
| 1245721851 | Mackenzie J Banwart | Physical Therapist | 1700 N Division St Ste 200, Davenport, IA 52804 | 2018-05-21 |
| Find all providers in zip 52804 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588002505 | Mohammad Masoom Qureshi | Psychiatry & Neurology | 2217 North Blvd W Ste B, Davenport, FL 33837-8990 | 2013-06-12 |
| 1184680605 | Mark A. Pithan | Psychiatry & Neurology | 4700 E 56th St Ste 100, Davenport, IA 52807-2904 | 2006-04-24 |
| 1184602013 | Rodney A Short | Psychiatry & Neurology | 4700 E 56th St, Suite 100, Davenport, IA 52807-2995 | 2005-12-30 |
| 1891771119 | Shahid Riaz | Psychiatry & Neurology | 108 Park Place Blvd, Ste A, Davenport, FL 33837-6857 | 2005-12-19 |
| 1124063375 | Waseem Ahmad | Psychiatry & Neurology | 1351 W Central Park Ave, Pavilion 2, Ste 3300, Davenport, IA 52804-1853 | 2006-06-19 |
| 1861461436 | Neurology Consultants PC | Psychiatry & Neurology | 4700 E 56th St, Suite 100, Davenport, IA 52807-2903 | 2006-03-16 |
| 1932186962 | Stephen C Rasmus | Psychiatry & Neurology | 1351 W Central Park Ave, Suite 3300, Davenport, IA 52804-1889 | 2005-12-30 |
| 1821076753 | Irena M Charysz-birski | Psychiatry & Neurology | 4700 E 56th St, Suite 100, Davenport, IA 52807-2995 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073179784 | Brooke Kubat | Psychiatry & Neurology | 200 Hawkins Dr Dept of Neurology, Iowa City, IA 52242-1009 | 2019-05-17 |
| 1275069627 | Betsy Love | Psychiatry & Neurology | 1200 Sw State St, Suite 1d, Ankeny, IA 50023-2547 | 2017-05-04 |
| 1255712618 | Marie Chase | Psychiatry & Neurology | 2710 Saint Francis Dr Ste 201, Waterloo, IA 50702-5664 | 2015-06-11 |
| 1629463062 | Collin Kreple | Psychiatry & Neurology | 2631 Irving Ave, Iowa City, IA 52246-4127 | 2015-04-02 |
| 1497079545 | Michael J Stein | Psychiatry & Neurology | 611 S 28th St, West Des Moines, IA 50265-5559 | 2010-03-18 |
| 1245364728 | Teresa B Rosales | Psychiatry & Neurology | 1800 North 16th St., Clarinda, IA 51632 | 2007-03-15 |
| 1801922018 | Burlington Neurology and Sleep Clinic, Plc | Psychiatry & Neurology | 1225 S Gear Ave Ste 153, Mercy Plaza, West Burlington, IA 52655-1686 | 2007-02-24 |
| 1972646917 | Heike Schmolck | Psychiatry & Neurology | Mercy Ruan Neurology Clinic Central, 1111 6th Ave East Tower Suite A100, Des Moines, IA 50314 | 2007-02-15 |
| 1144329996 | Juan A Acosta | Psychiatry & Neurology | 1015 Duff Avenue, Mcfarland Clinic PC, Ames, IA 50010-3014 | 2006-09-21 |
| 1205945094 | Michael Leon Pogel | Psychiatry & Neurology | 2000 S Main St, Fairfield, IA 52556-9572 | 2006-08-29 |
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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.