DR. ANTOINE D JOHNSON (NPI# 1639136294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639136294 |
| Entity Type | Individual |
| Full Name | DR. ANTOINE D JOHNSON |
| Credential | MD |
| Practice Address |
105 W. 4th Street Aberdeen WA 98520 |
| Mailing Address |
Po Box 149 Aberdeen WA 98520-0063 |
| Practice Telephone | 3605387292 |
| Practice Fax Number | 3605337135 |
| Mailing Telephone | 3605387292 |
| Mailing Fax Number | 3605332566 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00039048 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8270787 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545379 | Antoine Johnson | Peer Specialist | 846 N 63rd St, Philadelphia, PA 19151-3443 | 2020-10-13 |
| 1326380916 | Antoine C Johnson | Counselor | 4292 Memorial Dr Ste C, Decatur, GA 30032-1224 | 2013-03-21 |
| 1679730709 | Antoine Gerard Johnson | Dentist | 8860 Columbia 100 Pkwy Ste 308, Columbia, MD 21045-2298 | 2008-05-16 |
| 1588279053 | Antoine Johnson | Behavior Technician | 644 Ferguson Dr Ste 200, Orlando, FL 32805-1014 | 2020-09-11 |
| 1902422777 | Antoine Lee Johnson | Case Manager/Care Coordinator | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2020-06-17 |
| Street Address |
105 W. 4TH STREET |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851883540 | Modern Day Health Care Prof LLC | Family Medicine | 125 Railroad Ave Se, Aberdeen, SD 57401-4202 | 2018-05-30 |
| 1639597370 | Jason Li | Family Medicine | 17 Beacon Ln, Aberdeen, NJ 07747-2301 | 2014-03-31 |
| 1154695344 | Urgent Cares of America North Carolina Inc. | Family Medicine | 1800 N Sandhills Blvd, Aberdeen, NC 28315-2336 | 2012-03-06 |
| 1184919151 | Oluwakemi Ajide | Family Medicine | 1013 Beards Hill Rd, Suite 103, Aberdeen, MD 21001-2293 | 2011-06-17 |
| 1316237092 | Rose Mary Hatem Bonsack | Family Medicine | 205 Hemlock La., Aberdeen, MD 21001 | 2011-04-14 |
| 1013143296 | Avera St. Luke's | Family Medicine | 105 S State St Ste 113, Aberdeen, SD 57401-4502 | 2009-06-02 |
| 1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
| 1891855847 | Hope Family Center PC | Family Medicine | 210 Magnolia Square Ct, Aberdeen, NC 28315 | 2006-12-11 |
| 1992732168 | Charles D Adams | Family Medicine | 1813 Sumner St, Aberdeen, WA 98520 | 2006-06-26 |
| 1154364636 | Kevin Curtis Hayes | Family Medicine | 504 S Chestnut St, Aberdeen, MS 39730-3337 | 2006-06-13 |
| Find all providers in ABERDEEN | ||||
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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.