DR. ANDREW C JOHNSON (NPI# 1639465131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639465131 |
Entity Type | Individual |
Full Name | DR. ANDREW C JOHNSON |
Credential | MD |
Practice Address |
5721 S Maryland Ave Chicago IL 60637-1425 |
Mailing Address |
925 W Montana St Unit F Chicago IL 60614-2431 |
Practice Telephone | 7737025444 |
Mailing Telephone | 3157270758 |
Enumeration Date | 2011-06-22 |
Last Update Date | 2014-06-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 125.059761 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366981938 | Andrew Ho'ola'iku Johnson | Dentist | 45-943 Kamehameha Hwy Ste 201, Kaneohe, HI 96744 | 2017-02-15 |
1477904134 | Andrew Johnson | Nurse Practitioner | 9532 Volga Dr, Commerce Township, MI 48382-3666 | 2016-06-23 |
1184072209 | Andrew David Johnson | Internal Medicine | 999 Guardian Way, Cookeville, TN 38506-0680 | 2016-05-31 |
1821402736 | Andrew Johnson | General Practice | White Street Bldg As-100, Mcas New River, Jacksonville, NC 28545-0000 | 2014-06-18 |
1528471117 | Andrew Johnson | Specialist/Technologist | 4575 Lawrenceville Hwy Nw, Lilburn, GA 30047-3617 | 2014-06-11 |
1982951653 | Andrew Keith Johnson | Physical Therapist | 6841 Mountain View Rd., Ooltewah, TN 37363 | 2012-08-13 |
1619208600 | Andrew Johnson | Emergency Medical Technician, Basic | 5452 Bancroft Ave, Apt 105, Oakland, CA 94601-5839 | 2010-01-15 |
1447435854 | Andrew Loren Johnson | Emergency Medical Technician, Basic | 111 W. Harrison St, Seattle, WA 98119 | 2008-01-03 |
1881881936 | Andrew F Johnson | Physical Therapist | 10907 I-10 East, Houston, TX 77029-1911 | 2007-10-02 |
1508069980 | Andrew Robert Johnson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # L-605, Portland, OR 97239-3011 | 2007-06-06 |
Street Address |
5721 S MARYLAND AVE |
City | CHICAGO |
State | IL |
Zip Code | 60637-1425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942277322 | Jill Louise Olson De Jong | Pediatrics | 5721 S Maryland Ave, Comer Children's Hospital, Chicago, IL 60637-1425 | 2006-03-03 |
1245852730 | Stefanie Hayes | Registered Nurse | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2020-05-07 |
1598392169 | Ashley Mackey | Pediatrics | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2020-03-24 |
1205499423 | Margaret Elizabeth Mcguire | Nurse Practitioner | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2019-04-15 |
1134635147 | Margaret Connors | Nurse Practitioner | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2017-12-28 |
1164871844 | Emily Batton | Pediatrics | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637-1425 | 2016-06-03 |
1043668098 | Ysabella Esteban | Pediatrics | 5721 S Maryland Ave, Mc 8016, K 155, Chicago, IL 60637-1425 | 2016-06-01 |
1801242367 | Elizabeth Watts Freeman | Pediatrics | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637-1425 | 2016-05-13 |
1619358868 | Catherine Berger | Pediatrics | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637 | 2015-06-13 |
1124409743 | Juan Ricardo Barron Alemany | Pediatrics | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2015-06-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
Find all providers in zip 60637 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
1164068730 | Alexis Gasiorowski | Pediatrics | 737 N Michigan Ave Ste 870, Chicago, IL 60611-2615 | 2019-11-19 |
1265077424 | Vanessa Harvey | Pediatrics | 1620 W Harrison St # 7k, Chicago, IL 60612-3801 | 2019-11-12 |
1811458136 | Audrey Zeis | Pediatrics | 5841 S Maryland Ave # Mc8061, Chicago, IL 60637-1443 | 2019-03-28 |
1801357470 | Roohie Kaur Poonia | Pediatrics | 5721 S Maryland Ave Unit 1200, Chicago, IL 60637-1425 | 2019-03-27 |
1649762931 | Michael Zev Nevid | Pediatrics | Rush Pediatric Care Group, 1645 W. Jackson Blvd, Chicago, IL 60612-3276 | 2018-06-01 |
1649787342 | Yi Shao | Pediatrics | 5841 S Maryland Ave # 8016, Chicago, IL 60637-1443 | 2018-01-03 |
1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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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.