DR. BROCK A JOHNSON (NPI# 1770993206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770993206 |
| Entity Type | Individual |
| Full Name | DR. BROCK A JOHNSON |
| Credential | MD |
| Practice Address |
1729 Kinneys Ln Ste 102 Portsmouth OH 45662-3166 |
| Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
| Practice Telephone | 7403510980 |
| Practice Fax Number | 7403510021 |
| Mailing Telephone | 6064089565 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 54062 | KY | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 35.139825 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Medical Center Dr, Huntington, WV 257013656 | 3046911262 | 3046911666 |
| 391 W Tom T Hall Blvd, Olive Hill, KY 411647688 | 6063270036 | 6063261159 |
| 609 N Carol Malone Blvd Ste 105, Grayson, KY 411431123 | 6063270036 | 6063261159 |
| 613 23rd St Ste G30, Ashland, KY 411012881 | 6063270036 | 6063261159 |
| 8750 Ohio River Rd, Wheelersburg, OH 456941918 | 7405749301 | 7405741651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013049006 | Brock Jonathan Johnson | Dentist | 900 S. Ash St., Yuma, CO 80759 | 2007-03-12 |
| 1992197180 | Brock Johnson | Chiropractor | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2015-02-24 |
| 1295895076 | Brock Lester Johnson | Chiropractor | 3620 Long Beach Blvd, C11, Long Beach, CA 90807-4022 | 2006-12-11 |
| Street Address |
1729 KINNEYS LN STE 102 |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-3166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487722377 | Gerardo Dumlao Trinidad | Orthopaedic Surgery | 1729 Kinneys Ln Ste 102, Portsmouth, OH 45662-3166 | 2006-12-01 |
| 1629475397 | Luke Lester | Nurse Practitioner | 1729 Kinneys Ln Ste 102, Portsmouth, OH 45662-3166 | 2014-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| 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 |
|---|---|---|---|---|
| 1982970539 | Michael Paul Morwood | Orthopaedic Surgery | 1900 Lafayette Rd Ste A, Portsmouth, NH 03801-5679 | 2012-03-28 |
| 1114185477 | New England Orthopaedics & Spine | Orthopaedic Surgery | 86 Newcastle Ave, Portsmouth, NH 03801-5216 | 2008-05-22 |
| 1710920590 | Christopher G. Belton | Orthopaedic Surgery | 1711 27th St Ste 102, Portsmouth, OH 45662-2657 | 2006-06-13 |
| 1023064003 | Frank A Graf | Orthopaedic Surgery | 10 Vaughan Mall, Ste 207, Portsmouth, NH 03801-4047 | 2006-05-25 |
| 1891750360 | Jonathan Lee Holzdepfel | Orthopaedic Surgery | 150 Route 1 Bypass, Portsmouth, NH 03801-5332 | 2006-04-19 |
| 1124521729 | Ryan Labelle | Orthopaedic Surgery | 1900 Lafayette Rd, Portsmouth, NH 03801-5679 | 2018-03-10 |
| 1891149480 | Hicks Corey Manson | Orthopaedic Surgery | 620 John Paul Jones Circle, Navy Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-04-20 |
| 1316304082 | Colin Nevins | Orthopaedic Surgery | 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2111 | 2016-01-26 |
| 1184019705 | Rehan Dawood | Orthopaedic Surgery | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2015-03-31 |
| 1336582063 | Vanna J Rocchi | Orthopaedic Surgery | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2013-04-11 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.