DR. WALLACE EMANUEL JOHNSON (NPI# 1639341076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639341076 |
| Entity Type | Individual |
| Full Name | DR. WALLACE EMANUEL JOHNSON |
| Credential | MD |
| Practice Address |
273 Leeward Ct Detroit MI 48207-5053 |
| Practice Telephone | 3133932741 |
| Mailing Telephone | 3133932741 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 4301027092 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932355229 | Wallace B Johnson | Dentist | West Lake Road, Mayville, NY 14757-0126 | 2008-08-18 |
| 1346209020 | Wallace Scott Johnson | Optometrist | 702 10th St, Worthington, MN 56187-2767 | 2006-03-21 |
| 1659480838 | Wallace Allen Johnson Jr. | Pharmacist | 933 Old Rockford St, Suite 3, Mount Airy, NC 27030-5356 | 2006-08-30 |
| 1902833619 | Wallace E Johnson | Internal Medicine | 800 Ayrault Rd Ste 200, Fairport, NY 14450-8941 | 2006-06-27 |
| 1043253867 | Wallace R Johnson | Internal Medicine | 22 S Greene St, Baltimore, MD 21201-1590 | 2006-06-13 |
| Street Address |
273 LEEWARD CT |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-5053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588228845 | Muhammad Talha Padela | Orthopaedic Surgery | 3990 John R St Ste 7b, Detroit, MI 48201 | 2019-04-23 |
| 1225582323 | Markian Andrew Pahuta | Orthopaedic Surgery | 2799 W Grand Blvd # K-12, Henry Ford Health System, Orthopaedics, Detroit, MI 48202-2608 | 2016-08-08 |
| 1780926816 | Steven Slotkin | Orthopaedic Surgery | 3901 Beaubien St Fl 1, Detroit, MI 48201 | 2013-03-27 |
| 1114236171 | Kerellos Athanacios-nabeh Nasr | Orthopaedic Surgery | 4201 Saint Antoine St # 6d5.5, Detroit, MI 48201-2153 | 2010-09-24 |
| 1043386410 | Terrence R. Lock | Orthopaedic Surgery | Henry Ford Hospital Fitness Cn, 6525 Second Street, Detroit, MI 48202 | 2006-11-28 |
| 1477593937 | Michael Patrick Mott | Orthopaedic Surgery | University Health Center Ste 6a, 4707 St Antoine, Detroit, MI 48201 | 2006-06-06 |
| 1255379988 | Robert Meehan | Orthopaedic Surgery | 311 Mack Ave Fl 5, Detroit, MI 48201-2466 | 2006-06-03 |
| 1699747543 | Ferras Zeni | Orthopaedic Surgery | 2799 West Grand Blvd, Orthopedic Surgery, K-12, Detroit, MI 48202 | 2006-02-05 |
| 1013537638 | Daniel Ray Cavazos | Orthopaedic Surgery | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-04-23 |
| 1912498874 | Jonathan Shaw | Orthopaedic Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2018-05-25 |
| Find all providers in DETROIT | ||||
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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.