DR. JOANNA R JOHNSON (NPI# 1689638116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689638116 |
| Entity Type | Individual |
| Full Name | DR. JOANNA R JOHNSON |
| Credential | M.D. |
| Practice Address |
5501 Old York Rd Levy 2 West Philadelphia PA 19141-3018 |
| Practice Telephone | 2154566786 |
| Mailing Telephone | 2154566786 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2010-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD017088E | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE HMO PROVIDER # | 0046132000 | 01 |
| PA | KEYSTONE MERCY PROVIDER # | 1031512 | 01 |
| PA | INDEPENDENCE B/C PROVIDER | 136289 | 01 |
| PA | HIGHMARK PROVIDER # | 136289 | 01 |
| PA | AETNA PPO PROVIDER# | 232295464 | 01 |
| PA | CIGNA HMO PROVIDER # | 1290835006 | 01 |
| PA | CIGNA PPO PROVIDER # | 232295464 | 01 |
| PA | AETNA HMO PROVIDER # | 856289 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912505 | Joanna Johnson | Developmental Therapist | 10910 Keys Gate Drive, Riverview, FL 33579 | 2020-05-05 |
| 1386089225 | Joanna Tiaira Johnson | Nurse Practitioner | 4389 Beaufort, Havelock, NC 28532 | 2013-05-06 |
| 1255982211 | Joanna Lynn Johnson | Social Worker | 4826 Chicago Ave Ste 105, Minneapolis, MN 55417-1055 | 2019-09-21 |
| 1104378041 | Joanna Johnson | Day Training, Developmentally Disabled Services | 1365 Helena St, Jacksonville, FL 32208-3325 | 2016-10-26 |
| 1720498868 | Joanna Johnson | Registered Nurse | 1720 University Dr S, Fargo, ND 58103-4940 | 2014-04-29 |
| 1376968842 | Joanna Lynn Johnson | Nurse Practitioner | 901 Saint Marys Dr Ste 200, Evansville, IN 47714 | 2014-02-20 |
| 1760667448 | Joanna M Johnson | Nurse Practitioner | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2007-12-31 |
| 1689870826 | Joanna Lee Johnson | Psychologist | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7213 | 2007-06-25 |
| Street Address |
5501 OLD YORK RD LEVY 2 WEST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962331 | Sean Janzer | Internal Medicine | 5501 Old York Rd, 4th Floor Willowcrest, Philadelphia, PA 19141-3018 | 2005-06-17 |
| 1740897594 | Tajmia G Mcintosh | Nurse Practitioner | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-25 |
| 1104433200 | Juan Pablo Solano Romero | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-23 |
| 1205442233 | Rasha Elrefai | Pediatrics | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-15 |
| 1124633847 | Maria Carolina Musri | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-10 |
| 1295345916 | Bakhtawer Siraj | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-08-06 |
| 1699383091 | Sreenagavishnuvardha Motupalli | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-07-21 |
| 1750909222 | Raja Srinivas Boddepalli | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-07-10 |
| 1306463518 | Atif Iftikhar Nehvi | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-07-03 |
| 1821615345 | Paulina Henriquez Rojas | Psychiatry & Neurology | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1356803993 | Larkerra Goodson | Specialist | 1336 Arrott St Apt E15, Philadelphia, PA 19124-3281 | 2019-04-03 |
| 1306302617 | Keisha Robinson | Specialist | 6852 Regent St, Philadelphia, PA 19142-1213 | 2019-02-12 |
| 1740758168 | William Whitaker | Specialist | 1115 E Sanger St, Philadelphia, PA 19124-1130 | 2018-11-02 |
| 1902395536 | Ran Barzilay | Specialist | 3440 Market St, Suite 200, Philadelphia, PA 19104 | 2018-05-09 |
| 1093229668 | Danielle M Marshall | Specialist | 514 Seville St Apt 7, Philadelphia, PA 19128-2737 | 2017-11-19 |
| 1336651017 | Radhia Afif | Specialist | 5943 Weymouth St, Philadelphia, PA 19120-1122 | 2017-11-02 |
| 1306383401 | Helping Hair LLC | Specialist | 930 N 50th St, Philadelphia, PA 19131-5102 | 2017-01-26 |
| 1447796172 | Kristen Halvorson | Specialist | 3411 Cresson St, Apartment 6, Philadelphia, PA 19129-1654 | 2017-01-19 |
| 1174079131 | Sadia Randolph | Specialist | 6718 Paschall Ave, Philadelphia, PA 19142-1809 | 2016-08-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on DR. JOANNA R 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.