LAVONNE ROSE JOHNSTON (NPI# 1669402053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669402053 |
| Entity Type | Individual |
| Full Name | LAVONNE ROSE JOHNSTON |
| Other Name | LAVONNE ROSE BAKER |
| Credential | PA-C |
| Practice Address |
2112 Harrisburg Pike Suite 202 Lancaster PA 17601-2644 |
| Practice Telephone | 7175443500 |
| Practice Fax Number | 7175443501 |
| Mailing Telephone | 7175443500 |
| Mailing Fax Number | 7175443501 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2011-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA000735L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE | MA000735L | 01 |
| DEA | MJ1430723 | 01 |
| Street Address |
2112 HARRISBURG PIKE SUITE 202 |
| City | LANCASTER |
| State | PA |
| Zip Code | 17601-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831260 | David M. Weston | Internal Medicine | 2112 Harrisburg Pike, Ste 202, Lancaster, PA 17601-2644 | 2005-06-16 |
| 1790294288 | Bethany Noelle Jacobs | Physician Assistant | 2112 Harrisburg Pike, Lancaster, PA 17601-2644 | 2017-09-27 |
| 1124559679 | Midatlantic Endoscopy LLC | Clinic/Center | 2112 Harrisburg Pike, Suite 323, Lancaster, PA 17601-2644 | 2017-03-27 |
| 1598216053 | Christopher Trace Rohrer | Physical Therapist | 2112 Harrisburg Pike, Ste 321, Lancaster, PA 17601-2644 | 2016-10-20 |
| 1336692680 | Donna Mongeau | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-08-03 |
| 1578913695 | Jennifer Swope | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-06-20 |
| 1932555265 | Jessica S May | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-05-05 |
| 1417302928 | Megan Waltman | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-05-03 |
| 1679939797 | Andra Riela Marosok | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-01-05 |
| 1619332756 | Sheila Dyer | Nurse Practitioner | 2112 Harrisburg Pike, Lancaster, PA 17601-2644 | 2015-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333967 | Hummel Foot and Ankle LLC | Podiatrist | 1525 Old Schoolhouse Road, Suite 1201, Lancaster, PA 17601 | 2020-03-27 |
| 1487285508 | United Disabilities Services Foundation | Contractor | 2270 Erin Ct, Lancaster, PA 17601 | 2020-01-28 |
| 1699311522 | Meals On Wheels, Inc | Home Delivered Meals | 1085-b Manheim Pike, Lancaster, PA 17601 | 2019-11-26 |
| 1245711555 | Molly Cates Casey | Nurse Practitioner | 190 N Pointe Blvd Ste 1, Lancaster, PA 17601 | 2018-08-24 |
| 1588142293 | Wegmans Food Markets, Inc. | Pharmacy | 2000 Crossings Blvd, Lancaster, PA 17601 | 2018-08-03 |
| 1942791918 | Linda J Arnold | Registered Nurse | 2645 Valley View Dr, Lancaster, PA 17601 | 2018-05-24 |
| 1003311598 | Nicole Marie Adams | Social Worker | 255 Butler Avenue, Suite 103, Lancaster, PA 17601 | 2018-03-27 |
| 1013418912 | Pinnacle Health Medical Services | Clinic/Center | 1160 Manheim Pike Ste 101, Lancaster, PA 17601 | 2018-02-26 |
| 1962911750 | Keystone Functional Medicine, PC | General Practice | 1689 Crown Ave Ste 5, Lancaster, PA 17601 | 2017-09-25 |
| 1427573302 | Ellen Hoffman | Massage Therapist | 2108 Harrisburg Pike Ste 315, Lancaster, PA 17601 | 2017-08-11 |
| Find all providers in zip 17601 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1982938593 | Kathleen M. Thatcher | Physician Assistant | 401 N. Ewing Street, Fairfield Emergency Physicians, Lancaster, OH 43130 | 2009-09-29 |
| 1033373014 | Rachel Leanne Thompson | Physician Assistant | 701 N Duke St, Lancaster, PA 17602-2019 | 2008-07-18 |
| 1659584746 | Sharon Kay Ashton | Physician Assistant | 1652 W Avenue J, Lancaster, CA 93534-2814 | 2007-05-07 |
| 1477662203 | Joaquin J Garcia | Physician Assistant | 2150 Noll Drive, Suite 100, Lancaster, PA 17603 | 2006-08-29 |
| 1467488072 | Kelly O'sullivan | Physician Assistant | 3 Silent Meadow Ln, Dept of Medicine, Lancaster, NY 14086-3430 | 2006-06-24 |
| 1891738001 | Paul Richard Leaman | Physician Assistant | 625 S. Duke St., Lancaster, PA 17602-0598 | 2006-06-14 |
| 1942249420 | Brian Andrew Martin | Physician Assistant | 2150 Noll Dr Ste 100, Lancaster, PA 17603-7605 | 2006-06-06 |
| 1891742755 | Christine N Kurpiel | Physician Assistant | 1861 Charter Ln, Suite 118, Lancaster, PA 17601-6736 | 2006-05-27 |
| Find all providers in LANCASTER | ||||
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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.