MR. ANTUAN JOHNSON (NPI# 1639653942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639653942 |
| Entity Type | Individual |
| Full Name | MR. ANTUAN JOHNSON |
| Practice Address |
500 Madison Ave Ste 300 Toledo OH 43604-1257 |
| Practice Telephone | 5673128700 |
| Mailing Telephone | 4192978551 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0220883 | 05 |
| Street Address |
500 MADISON AVE STE 300 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43604-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407375090 | Keyana Renee Galloway | Social Worker | 500 Madison Ave Ste 300, Toledo, OH 43604 | 2017-09-14 |
| 1811595994 | Shandra Renee Collins | Case Manager/Care Coordinator | 500 Madison Ave Ste 300, Toledo, OH 43604-1257 | 2020-10-12 |
| 1659984045 | Taylor Crosser | Counselor | 500 Madison Ave Ste 300, Toledo, OH 43604-1257 | 2020-08-26 |
| 1114530425 | Jonathan Otis Banks | Counselor | 500 Madison Ave Ste 300, Toledo, OH 43604-1257 | 2020-08-26 |
| 1104446970 | Chantel Monique Liggins | Case Manager/Care Coordinator | 500 Madison Ave Ste 300, Toledo, OH 43604-1257 | 2020-04-22 |
| 1366091803 | Robin Louise Patterson | Case Manager/Care Coordinator | 500 Madison Ave Ste 300, Toledo, OH 43604-1257 | 2019-09-07 |
| 1356990899 | Michelle Tiara Harris | Case Manager/Care Coordinator | 500 Madison Ave Ste 300, Toledo, OH 43604-1257 | 2019-09-07 |
| 1104311828 | Jocelyn Johnson | Case Manager/Care Coordinator | 500 Madison Ave Ste 300, Toledo, OH 43604 | 2018-06-25 |
| 1043701477 | Marcus D Kelly | Case Manager/Care Coordinator | 500 Madison Ave Ste 300, Toledo, OH 43604-1257 | 2018-05-21 |
| 1902305816 | Nicole Denise Gross | Case Manager/Care Coordinator | 500 Madison Ave Ste 300, Toledo, OH 43604-1257 | 2018-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879590 | Kaushal B Jani | Student in an Organized Health Care Education/Training Program | Saint Vincent Medical Center, 2200 Jefferson Ave, Toledo, OH 43604 | 2020-04-08 |
| 1548807316 | Jennifer Marie Bismack | Peer Specialist | 142 23rd St, Suite 911, Toledo, OH 43604 | 2019-11-29 |
| 1841849064 | Keith Allen Vore | Student in an Organized Health Care Education/Training Program | 1117 Jefferson #214, Toledo, OH 43604 | 2019-09-10 |
| 1740846765 | Mohammad Shahrukh Tanweer | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent Medical Center, 2200 Jefferson Avenue, Toledo, OH 43604 | 2019-05-15 |
| 1740846229 | Sami Al-rahman Syed | Student in an Organized Health Care Education/Training Program | Mercy Health - St. Vincent, 2200 Jefferson Ave., Toledo, OH 43604 | 2019-05-10 |
| 1306402870 | Poojitha Kolluri | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Avenue - Mercy Family Physician, Toledo, OH 43604 | 2019-05-10 |
| 1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
| 1811426208 | Rosamaria Sanchez | Counselor | 701 Jefferson Ave Suite 101, Toledo, OH 43604 | 2017-06-08 |
| 1306373014 | Salwa Beydoun | Social Worker | 701 Jefferson, Toledo, OH 43604 | 2017-05-12 |
| 1770017865 | Full Circle To Completion LLC | Community/Behavioral Health | 316 N. Michigan Street, Suite 914, Toledo, OH 43604 | 2017-04-14 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072815 | Brandon Thomas | Case Manager/Care Coordinator | 111 S Byrne Rd, Toledo, OH 43615-6212 | 2020-10-27 |
| 1497355952 | Allen Richardson | Case Manager/Care Coordinator | 3450 W. Central Ave., Ste 366e, Toledo, OH 43606-1416 | 2020-10-26 |
| 1881209104 | Jessica Rentner | Case Manager/Care Coordinator | 2440 South Ave, Toledo, OH 43609-1611 | 2020-09-14 |
| 1154939148 | Jennifer Lawson | Case Manager/Care Coordinator | 2283 Ashlnd Ave., Toledo, OH 43620 | 2020-07-16 |
| 1508484957 | Lucynthia Dawn Jones | Case Manager/Care Coordinator | 2910 W Central Ave, Toledo, OH 43606-7702 | 2020-07-13 |
| 1952927790 | Jarmara Anderson | Case Manager/Care Coordinator | 420 Madison Ave Ste 550, Toledo, OH 43604-1272 | 2020-06-17 |
| 1518507219 | Malcolm Banks | Case Manager/Care Coordinator | 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 | 2020-01-10 |
| 1659910784 | Mariah Marcedes Garcia Liggins | Case Manager/Care Coordinator | 500 Madison Ave Ste 500, Toledo, OH 43604-1210 | 2020-01-06 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1134764434 | Pamela Dianna Welch | Case Manager/Care Coordinator | 2928 Algonquin Pkwy Lowr, Toledo, OH 43606-3747 | 2019-11-10 |
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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.