GREGORY E JOHNSON


Address: 225 E Idaho Ave, #17, Las Cruces, NM 88005-3257
Phone: 5055265525

GREGORY E JOHNSON (NPI# 1750413258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750413258
Entity Type Individual
Full Name GREGORY E JOHNSON
Credential M.D.
Practice Address 225 E Idaho Ave
#17
Las Cruces
NM 88005-3257
Practice Telephone 5055265525
Practice Fax Number 5055410498
Mailing Telephone 5055265525
Mailing Fax Number 5055410498
Enumeration Date 2007-03-10
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
77190 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM PRESBYTERIAN HEALTH 201023525 01
NM BLUE CROSS BLUE SHIELD NM009528 01
NM Z3673 05
NM B9667 05

Other Providers GREGORY JOHNSON

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1568080505 Gregory L Johnson Student in an Organized Health Care Education/Training Program W165n10212 Wagon Trl, Germantown, WI 53022-4747 2020-07-07
1780213405 Gregory Johnson Student in an Organized Health Care Education/Training Program 534 S Field St, Lakewood, CO 80226-2957 2020-04-04
1912462789 Gregory Johnson Technician 2001 15th St Nw # W1012, Washington, DC 20009-5828 2019-02-06
1558877134 Gregory Wallace Johnson Radiology 769 W 1900 S, Woods Cross, UT 84087-1720 2017-12-19
1770004764 Gregory Nathan Johnson Physical Therapist 200 E Idaho St Ste A, Kalispell, MT 59901-4117 2017-06-29
1497295349 Gregory Johnson Behavior Technician 831 W Woodward Ave, Eustis, FL 32726-4562 2017-02-26
1205202140 Gregory Kent Johnson Dentist 650 E. 25th Street, Umkc School of Dentistry, Kansas City, MO 64108 2015-08-14
1932507571 Gregory Johnson Specialist/Technologist 7925 W Mansfield Pkwy Unit 303, Lakewood, CO 80235-1955 2014-12-14
1093080228 Gregory Paul Johnson Physical Therapist 986 Quail Rdg, Keller, TX 76248-2925 2012-03-21
1588962054 Gregory Earl Johnson Counselor 915 E Main St, Watonga, OK 73772-4626 2011-03-08

Office Location

Street Address 225 E IDAHO AVE
#17
City LAS CRUCES
State NM
Zip Code 88005-3257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194707455 Ralph Jeffrey Bowers Optometrist 225 E Idaho Ave, Ste 28, Las Cruces, NM 88005-3242 2005-11-14
1679861868 Robert B Mabry Dentist 225 E Idaho Ave, Suite 14, Las Cruces, NM 88005-3257 2011-07-21
1205155280 Mesilla Valley Hearing Aid Center Hearing Aid Equipment 225 E Idaho Ave, Suite 24, Las Cruces, NM 88005-3257 2010-05-30
1093033722 Hawkins Chiropractic Chiropractor 225 E Idaho Ave, Suite 25, Las Cruces, NM 88005-3257 2010-05-05
1932339108 Forensic Intervention Consortium of Dona Ana County Community Health Worker 225 E Idaho Ave, Suite 35, Las Cruces, NM 88005-3257 2009-07-21
1255501359 Carol R Burks Phd LLC Psychologist 225 E Idaho Ave, Suite 10, Las Cruces, NM 88005-3257 2008-03-04
1912039413 Drs. Andrews and Johnson of The Mesilla Valley Internal Medicine 225 E Idaho Ave, #17, Las Cruces, NM 88005-3257 2007-03-10
1659403152 Patricia J Andrews Internal Medicine 225 E Idaho Ave, #17, Las Cruces, NM 88005-3257 2007-03-10
1487668323 Olivia Serna Durable Medical Equipment & Medical Supplies 225 E Idaho Ave, Suite 24, Las Cruces, NM 88005-3242 2006-07-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871158345 Raymond Pope Stewart Jr. Community Health Worker 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 2019-05-09
1538638481 Jennifer Mcafee Social Worker 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 2018-11-21
1023583226 Richard Flores Physical Therapist 1090 Med Park Dr., Las Cruces, NM 88005 2018-10-04
1558850834 Connections Therapy, Inc. Counselor 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 2018-05-02
1982134771 Madalyn Elyse Sprague Behavior Technician 1007 Ellendale Dr, Las Cruces, NM 88005 2017-06-14
1043766249 Leandra Gabrielle Abeyta Registered Nurse 2363 W University Ave, Las Cruces, NM 88005 2016-08-28
1790172641 Amistad Milestones LLC Speech-Language Pathologist 3100 Oak Street, Las Cruces, NM 88005 2015-04-17
1043628753 Richael Anne Bouvet-jenkins Social Worker 755 W. Hadley Avenue, Las Cruces, NM 88005 2014-07-25
1194133801 Helena Catalina Melendez Dental Hygienist 385 Calle Alegra Blg C, Las Cruces, NM 88005 2014-07-25
1447668256 Cherie O'dell Specialist 1758 Highland Ave, Las Cruces, NM 88005 2014-07-24
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386639888 John Henry Reynolds Internal Medicine 2447 S Telshor Blvd, Las Cruces, NM 88011-5049 2005-09-12
1235686403 The Medical Clinic LLC Internal Medicine 2904 Hillrise Dr, Las Cruces, NM 88011-4702 2016-09-06
1306044839 Rene Joukhadar Internal Medicine 2904 Hillrise Dr, Las Cruces, NM 88011-4702 2007-07-05
1912039413 Drs. Andrews and Johnson of The Mesilla Valley Internal Medicine 225 E Idaho Ave, #17, Las Cruces, NM 88005-3257 2007-03-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770814733 Orson L Treloar Internal Medicine 606 Tierra Berrenda Dr, Roswell, NM 88201-7863 2010-01-14
1144369141 Matthew Bouchonville, II Internal Medicine Msc10 5550, 1 University of New Mexico, Albuquerque, NM 87131-0001 2007-02-06
1316086309 Hemanth K Pai Internal Medicine Pmg Endocrinology, 8300 Constitution Ave Ne, Albuquerque, NM 87110 2007-02-06
1992842934 Andrew Lancaster Internal Medicine 2579 N. Scenic Dr., Suite B, Alamogordo, NM 88310-9784 2007-01-31
1124118963 Robert Thomas Ferraro Internal Medicine 5501 Jefferson St Ne, Suite #700, Albuquerque, NM 87109-3478 2006-10-13
1942394333 Deborah Z Allen Internal Medicine 201 Cedar Se Suite 4640, Pmg Pediatric Multispecialty, Albuquerque, NM 87106-4924 2006-10-03
1316045495 Elizabeth Batcher Internal Medicine 4060 Dietz Farm Cir Nw, Los Ranchos, NM 87107-3104 2006-09-20
1164455663 Alison M Sawyer Internal Medicine 1751 Old Pecos Trl Ste I, Santa Fe, NM 87505-4706 2006-07-08
1770533788 Robert E Burr Internal Medicine 407 S Schwartz Ave Ste 201, Farmington, NM 87401 2006-05-11
1780666982 Shelley A Katz Internal Medicine 5400 Canyon Bluff Trl Ne, Albuquerque, NM 87111-8239 2005-11-15
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City LAS CRUCES
Zip Code 88005

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Dataset Information

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.

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