PAUL B JOHNSON (NPI# 1669529780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669529780 |
| Entity Type | Individual |
| Full Name | PAUL B JOHNSON |
| Credential | MD |
| Practice Address |
1923 Mount Vernon St Philadelphia PA 19130-3213 |
| Mailing Address |
501 Hyde Park Doylestown PA 18902-6606 |
| Practice Telephone | 9176487096 |
| Mailing Telephone | 2152309200 |
| Mailing Fax Number | 2152309292 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
MD436071 | PA | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
25MA09004800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0276634 | 05 | |
| PA | 102332666 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757850 | Paul Johnson | Dentist | 1301 N 40th St, Lincoln, NE 68503-2109 | 2014-07-03 |
| 1912337387 | Paul Richard Johnson | Dentist | 13132 Newport Blvd, Suite 200, Tustin, CA 92780 | 2013-11-20 |
| 1720394034 | Paul E Johnson Jr. | Psychologist | 1389 Mapleton Rd, Mapleton, ME 04757-4501 | 2010-08-24 |
| 1760645006 | Paul Louis Johnson | Anesthesiology | Dept of Anesthesiology Univ of Kentucky, 800 Rose Street, Lexington, KY 40536-0001 | 2008-07-07 |
| 1770742876 | Paul Andrew Johnson | Dentist | 2901 Pioneer Ave, Rice Lake, WI 54868-2434 | 2008-06-03 |
| 1023288255 | Paul David Johnson | Dentist | 25 Pine Cone Drive, Suite 1, Palm Coast, FL 32164 | 2008-03-04 |
| 1629268784 | Paul Robert Johnson | Counselor | 16715 Ne 79th St, Redmond, WA 98052-4425 | 2007-07-25 |
| 1467577627 | Paul Edward Johnson | Pharmacist | 3803 South Main St, Marion, NY 14505-0047 | 2007-03-20 |
| 1659495497 | Paul D Johnson | Family Medicine | 221 North 12th Street, Suite 300, Kansas City, KS 66102-0000 | 2007-03-19 |
| 1932242435 | Paul Leo Johnson | Optometrist | 11033 Carolina Place Pkwy, Pineville, NC 28134-8370 | 2007-02-14 |
| Street Address |
1923 MOUNT VERNON ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477948412 | Siwei Zhou | Ophthalmology | 840 Walnut St Ste 910, Philadelphia, PA 19107-5599 | 2015-04-06 |
| 1548689425 | Sana Ali Bautista | Ophthalmology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609353291 | Eye and Facial Plastic Surgery Consultants LLC | Ophthalmology | 1203 Newtown-langhorne Road, Suite 120, Langhorne, PA 19047 | 2018-07-26 |
| 1881685048 | Daniel E Buerger | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2005-11-04 |
| 1811064561 | Pittsburgh Oculoplastic Associates, Ltd | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2006-11-29 |
| 1841240827 | Cari Elizabeth Lyle | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2006-05-11 |
| 1568443166 | Phillip Hyunchul Choo | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2005-11-10 |
| 1730160631 | David G Buerger | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2005-11-08 |
| City | PHILADELPHIA |
| Zip Code | 19130 |
Please comment or provide details below to improve the information on PAUL B JOHNSON.
| 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.