GLENN T. JOHNSON II (NPI# 1689672206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689672206 |
| Entity Type | Individual |
| Full Name | GLENN T. JOHNSON II |
| Credential | M.D. |
| Practice Address |
225 Crosslake Dr Evansville IN 47715-8198 |
| Practice Telephone | 8124771558 |
| Mailing Telephone | 8124771558 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2017-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 1048654 | IN | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
1048654 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200238020A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003093683 | Glenn A. Johnson | Physical Therapist | 808 E Justin Dr, Sioux Falls, SD 57108-4646 | 2008-01-26 |
| 1225235997 | Glenn Edwin Johnson | Chiropractor | 1665 S Brookhurst St, Suite J, Anaheim, CA 92804-6000 | 2007-06-27 |
| 1063441434 | Glenn Dwight Johnson | Otolaryngology | Dartmouth-hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756-0001 | 2006-06-30 |
| 1417950569 | Glenn Ray Johnson | Orthopaedic Surgery | 901 Montgomery St, Decorah, IA 52101-2325 | 2005-05-23 |
| 1710391719 | Glenn Johnson | Psychologist | 118 Maupin Cir, Shelbyville, TN 37160-3781 | 2014-06-17 |
| 1710249255 | Glenn Phelps Johnson Jr. | Counselor | 137 N Cottonwood St, Suite 1530, Woodland, CA 95695-6646 | 2012-06-11 |
| 1942480306 | Glenn A Johnson | Chiropractor | 500 9th Ave, Suite 5, Longmont, CO 80501-4598 | 2007-11-13 |
| 1609909829 | Glenn Roger Johnson | Psychologist | 256 Concord Ave, Cambridge, MA 02138-1337 | 2007-03-14 |
| 1265583751 | Glenn D Johnson | Chiropractor | 10321 Kingston Pike, Knoxville, TN 37922-3224 | 2007-01-13 |
| 1508958281 | Glenn Everett Johnson | Dentist | 2478 Patterson Road, Suite 24, Grand Junction, CO 81505 | 2006-09-29 |
| Street Address |
225 CROSSLAKE DR |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-8198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822279 | Jacob M O'neill | Orthopaedic Surgery | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2005-06-23 |
| 1952918419 | Mallory Leeann Baker | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-09-29 |
| 1558975045 | Kurtis D Anthony | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-09-02 |
| 1487270104 | Madison Jo Mundy | Occupational Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-06-18 |
| 1336774900 | Brandi L Fields | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-03-04 |
| 1982257507 | Shelby Clark | Physician Assistant | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-07-23 |
| 1043872013 | Jonathan Bernard Kirsch | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-07-01 |
| 1346800398 | Justin David Isiah King | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-06-20 |
| 1831656313 | Tri-state Orthopaedic Surgeons, Inc | Occupational Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-02-21 |
| 1093295768 | Rebecca L Thomas | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033117619 | James M. Heinrich | Orthopaedic Surgery | 225 Cross Lake Dr., Evansville, IN 47715-8198 | 2005-07-08 |
| 1104822279 | Jacob M O'neill | Orthopaedic Surgery | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2005-06-23 |
| 1164425856 | Paul Deming Alley | Orthopaedic Surgery | 1150 Lincoln Ave, Evansville, IN 47714-1071 | 2005-05-27 |
| 1326041039 | Alan Henry Johnson | Orthopaedic Surgery | 533 W Columbia St, Evansville, IN 47710-1617 | 2005-05-27 |
| 1922394675 | Aaron Blake Mull | Orthopaedic Surgery | 515 Read St, Evansville, IN 47710-1683 | 2011-06-21 |
| 1457669525 | Peter Addison Knoll | Orthopaedic Surgery | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2010-09-22 |
| 1568782829 | Isaac Wayne Fehrenbacher | Orthopaedic Surgery | 515 Read St, Evansville, IN 47710-1739 | 2010-06-09 |
| 1265762801 | Edward Louis Brundick II | Orthopaedic Surgery | 500 E Walnut St, Evansville, IN 47713-2438 | 2010-01-04 |
| 1811139363 | Charlotte Ellen Orr | Orthopaedic Surgery | 515 Read St, Evansville, IN 47710-1739 | 2009-03-30 |
| 1104083823 | Anthony Peter Czaplicki IIi | Orthopaedic Surgery | 515 Read St, Evansville, IN 47710-1739 | 2008-05-20 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
Please comment or provide details below to improve the information on GLENN T. JOHNSON II.
| 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.