DR. ROGER EARL JOHNSONBAUGH (NPI# 1700994779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700994779 |
| Entity Type | Individual |
| Full Name | DR. ROGER EARL JOHNSONBAUGH |
| Credential | M.D., PH.D. |
| Practice Address |
3411 N 5th Ave Suite 201 Phoenix AZ 85013-3811 |
| Practice Telephone | 6022745078 |
| Practice Fax Number | 6022850378 |
| Mailing Telephone | 6022745078 |
| Mailing Fax Number | 6022850378 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
23605 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 332114 | 05 |
| Street Address |
3411 N 5TH AVE SUITE 201 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518945781 | Paula Frank Nadell | Specialist | 3411 N 5th Ave, Suite 205, Phoenix, AZ 85013-3811 | 2006-01-06 |
| 1063859577 | Global Medical Alert, LLC | Durable Medical Equipment & Medical Supplies | 3411 N 5th Ave, Suite 207, Phoenix, AZ 85013-3811 | 2013-05-24 |
| 1770828477 | Osborn Ob Gyn Womens Care PC | Specialist | 3411 N 5th Ave, Suite 205, Phoenix, AZ 85013-3812 | 2012-12-06 |
| 1366757189 | Julia A Eastman | Acupuncturist | 3411 N 5th Ave, Suite 207, Phoenix, AZ 85013-3811 | 2010-08-17 |
| 1548431042 | Affiliated Oncologists Ltd | Internal Medicine | 3411 N 5th Ave, Ste 400, Phoenix, AZ 85013-3811 | 2008-03-12 |
| 1871713305 | Gabriella Helaine-wolf Montgomery | Counselor | 3411 N 5th Ave, #209, Phoenix, AZ 85013-3811 | 2007-04-26 |
| 1821010588 | David Hood Franks | Specialist | 3411 N 5th Ave, Suite 400, Phoenix, AZ 85013-3811 | 2006-07-24 |
| 1508846643 | Women Making A Difference Inc | Durable Medical Equipment & Medical Supplies | 3411 N 5th Ave, # 304, Phoenix, AZ 52013 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679535405 | Tala S Dajani | Pediatrics | 15600 N Black Canyon Hwy, Suite C-102, Phoenix, AZ 85053-4055 | 2006-04-05 |
| 1619395357 | Robert Gonsalves IIi | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006 | 2014-03-31 |
| 1053653113 | Amanda Marie Campos | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2013-03-26 |
| 1518227016 | Melissa Anne Chambers | Pediatrics | 1919 E Thomas Rd, Phoenix Children's Hospital, Phoenix, AZ 85016-7710 | 2012-05-18 |
| 1962706317 | Payal S Patel | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008 | 2010-12-28 |
| 1215190863 | Areej K Younes | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2008-07-03 |
| 1265554612 | The Pediatric Endocrine Diabetes Clinic PC | Pediatrics | 333 W Thomas Rd, Suite 201, Phoenix, AZ 85013-4417 | 2007-04-05 |
| 1619902251 | Robert Ganelin | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-07-12 |
| 1235191727 | Mahmoud B Kabbani | Pediatrics | 3811 E Bell Rd, Suite 206, Phoenix, AZ 85032-2138 | 2006-04-03 |
| 1053372144 | Silvia Kaufmann | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2006-03-29 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on DR. ROGER EARL JOHNSONBAUGH.
| 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.