MR. MICHAEL FREDERICK JOHNSON (NPI# 1679738272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679738272 |
Entity Type | Individual |
Full Name | MR. MICHAEL FREDERICK JOHNSON |
Credential | P.A.-C |
Practice Address |
1802 N Jackson St Tullahoma TN 37388-8218 |
Mailing Address |
1802 North Jackson Street Suite 8 Tullahoma TN 37388 |
Practice Telephone | 9314554529 |
Practice Fax Number | 9314554633 |
Mailing Telephone | 9314554520 |
Mailing Fax Number | 9314554633 |
Enumeration Date | 2008-07-23 |
Last Update Date | 2011-08-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1564 | TN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
Street Address |
1802 N JACKSON ST |
City | TULLAHOMA |
State | TN |
Zip Code | 37388-8218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083687230 | William Trump Frye | Optometrist | 1802 N Jackson St, Ste# 830, Tullahoma, TN 37388-8218 | 2006-02-08 |
1366994618 | Anesthesia Services Associates, Pllc. | Durable Medical Equipment & Medical Supplies | 1802 N Jackson St, Tullahoma, TN 37388-8218 | 2016-11-02 |
1316302185 | Jessica D Johnson | Nurse Practitioner | 1802 N Jackson St, Suite 650, Tullahoma, TN 37388-8218 | 2015-12-22 |
1093067878 | Urgent Urgent America, LLC | Clinic/Center | 1802 N Jackson St, Tullahoma, TN 37388-8218 | 2012-10-04 |
1174828180 | Deadra Renea Tucker | Nurse Practitioner | 1802 N Jackson St, Suite 8, Tullahoma, TN 37388-8218 | 2011-01-22 |
1750418000 | C&v Opticals,inc. | Technician/Technologist | 1802 N Jackson St, 830, Tullahoma, TN 37388-8218 | 2007-02-27 |
1972696342 | Southern Family Markets LLC | Pharmacy | 1802 N Jackson St, Tullahoma, TN 37388-8218 | 2006-09-30 |
1205946191 | Kelly Haag | Physical Therapy Assistant | 1802 N Jackson St, Suite 820, Tullahoma, TN 37388-8218 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
Find all providers in zip 37388 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891798377 | Lori Russell | Physician Assistant | 100 Hunters Ln, Suite 100, Tullahoma, TN 37388-8263 | 2005-05-27 |
1407824295 | Aubrey Martin Cawthon Jr. | Physician Assistant | 507 Nw Atlantic St, Tullahoma, TN 37388-3504 | 2006-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346840972 | Alexis Sierra Foster | Physician Assistant | 953 Prince Ave, Erwin, TN 37650-1445 | 2020-11-01 |
1972110831 | Marleen Yosef | Physician Assistant | 6 Whitsett Rd, Nashville, TN 37210-5345 | 2020-09-24 |
1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
1134749922 | Mckenzie Jacobson | Physician Assistant | 302 Tyson Ave # B, Paris, TN 38242-4576 | 2020-04-21 |
1316580913 | Donald Jacob Calella | Physician Assistant | 8146 Propeller Dr, Ooltewah, TN 37363-9561 | 2019-10-26 |
1811458565 | Physician Associate Resources, Plc | Physician Assistant | 1559 Highland Park Drive, Lenoir City, TN 37772 | 2019-03-26 |
1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
1700369162 | Lauren Peyton Hunley | Physician Assistant | 6890 W Andrew Johnson Hwy, Talbott, TN 37877-8610 | 2018-09-12 |
1275039471 | Jessica Taylor Epting | Physician Assistant | 107 Glen Oak Blvd Ste 200, Hendersonville, TN 37075-3162 | 2018-04-05 |
Find all providers with the same taxonomy |
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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.