JEFF JOHNSON (NPI# 1760459440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760459440 |
| Entity Type | Individual |
| Full Name | JEFF JOHNSON |
| Credential | M.D. |
| Practice Address |
1903 Broadway St Paducah KY 42001-7105 |
| Practice Telephone | 2704421671 |
| Practice Fax Number | 2704427307 |
| Mailing Telephone | 2704421671 |
| Mailing Fax Number | 2704427307 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2007-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 15239 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64152390 | 05 | |
| ANTHEM BCBS | 000000044966 | 01 | |
| IL | 0040162029 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932266145 | Jeff O Johnson | Dentist | 16 Mills Ave Ste 4, Greenville, SC 29605-4065 | 2007-01-03 |
| 1619062502 | Jeff K Johnson | Chiropractor | 5251 R St, Suite 4, Lincoln, NE 68504-3422 | 2006-10-04 |
| 1174622807 | Jeff Johnson | Dentist | 507 E Church St, Booneville, MS 38829-3709 | 2006-09-21 |
| 1265456164 | Jeff Wayne Johnson | Dentist | 1212 Freeway Dr, Reidsville, NC 27320-7170 | 2006-07-26 |
| 1326013673 | Jeff O Johnson | Dentist | 200 Plaza Blvd, Fountain, CO 80817-2504 | 2006-02-21 |
| 1184033771 | Jeff Johnson | Pharmacist | 3798 S 700 E, Suite #7, Salt Lake City, UT 84106-1150 | 2014-08-07 |
| 1831228030 | Jeff Johnson | Case Manager/Care Coordinator | 1622 Donaghey, Conway, AR 72034 | 2007-03-05 |
| 1467540013 | Jeff R Johnson | Counselor | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2006-10-10 |
| 1851329056 | Jeff Kent Johnson | Internal Medicine | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2006-06-28 |
| 1235115064 | Jeff L Johnson | Specialist | 7900 Fm 1826, Suite 180, Austin, TX 78737-1409 | 2005-12-22 |
| Street Address |
1903 BROADWAY ST |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-7105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749917 | Heartland Cares, Inc. | Nurse Practitioner | 1903 Broadway St, Paducah, KY 42001-7105 | 2005-06-10 |
| 1013984624 | Ted Borodofsky | Ophthalmology | 1903 Broadway St, Paducah, KY 42001-7105 | 2006-03-02 |
| 1083607204 | Infectious Diseases Associates Pllc | Internal Medicine | 1903 Broadway St, Paducah, KY 42001-7105 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538482906 | Barbara Bowers, Md, Pllc | Ophthalmology | 1130 Lone Oak Rd, Paducah, KY 42003-4525 | 2010-03-12 |
| 1598717027 | The Ophthalmology Group, LLC | Ophthalmology | 4630 Village Square Drive, Paducah, KY 42001-7502 | 2006-05-16 |
| 1942277280 | Mark E Gillespie | Ophthalmology | 4630 Village Square Dr, Paducah, KY 42001-7502 | 2006-03-07 |
| 1578530192 | Barbara Bowers | Ophthalmology | 1130 Lone Oak Road, Paducah, KY 42003-4540 | 2006-03-02 |
| 1619973062 | Carl W Marquess Jr. | Ophthalmology | 1750 Broadway St, Paducah, KY 42001-2706 | 2005-06-21 |
| 1760825624 | Brian R. Bodnarchuk | Ophthalmology | 4630 Village Square Dr, Paducah, KY 42001-7502 | 2013-04-10 |
| 1336420082 | Eyecare Associates of Kentucky, Psc | Ophthalmology | 1748 Broadway St, Paducah, KY 42001-2706 | 2011-09-07 |
| 1255657151 | James D Kim | Ophthalmology | 4630 Village Square Dr, Paducah, KY 42001-7502 | 2010-04-16 |
| 1326280504 | Landen A Meeks | Ophthalmology | 4630 Village Square Dr, Paducah, KY 42001-7502 | 2009-04-02 |
| 1710171491 | Carl Winfred Marquess M D | Ophthalmology | 1750 Broadway St, Paducah, KY 42001-2706 | 2007-09-05 |
| Find all providers in PADUCAH | ||||
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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.