NORMAN A JOHANSON (NPI# 1780667154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780667154 |
| Entity Type | Individual |
| Full Name | NORMAN A JOHANSON |
| Credential | MD |
| Practice Address |
216 N Broad St 2nd Floor Philadelphia PA 19102-1121 |
| Mailing Address |
230 N Broad St Philadelphia PA 19102-1121 |
| Practice Telephone | 2157622663 |
| Practice Fax Number | 2157624447 |
| Mailing Telephone | 2152553828 |
| Mailing Fax Number | 2152553577 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2015-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
MD042880L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012166600006 | 05 | |
| PA | MEDICAL LICENSE | MD042880L | 01 |
| PA | DEA | BJ2414946 | 01 |
| Street Address |
216 N BROAD ST 2ND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104192558 | Gregory Malat | Pharmacist | 216 N Broad St, Ms 417 5th Floor Feinstein Bldg, Philadelphia, PA 19102-1121 | 2012-03-30 |
| 1841569167 | Andres Riera | Internal Medicine | 216 N Broad St, Philadelphia, PA 19102 | 2011-12-14 |
| 1376810192 | Roberto Eduarte Velasco | Nurse Practitioner | 216 N Broad St, 12318 New College Building, Philadelphia, PA 19102-1121 | 2011-11-22 |
| 1972886885 | Priscilla Bosacco | Nurse Practitioner | 216 N Broad St, Feinstein Building, 2nd Floor, Philadelphia, PA 19102-1121 | 2011-09-27 |
| 1972747285 | Jasjit Kaur Beausang | Obstetrics & Gynecology | 216 N Broad St, Floor 4 Feinstein Building, Philadelphia, PA 19102-1121 | 2009-04-30 |
| 1215192521 | Karen M Berkowitz | Obstetrics & Gynecology | 216 N Broad St, 4th Floor, Philadelphia, PA 19102-1121 | 2008-07-25 |
| 1417135161 | Philadelphia Health & Education Corporation | Obstetrics & Gynecology | 216 N Broad St, 4th Floor, Feinstein, Philadelphia, PA 19102-1121 | 2008-02-05 |
| 1568647592 | Laird Jackson | Obstetrics & Gynecology | 216 N Broad St, Philadelphia, PA 19102-1121 | 2008-01-09 |
| 1023227444 | Lissa Beth Levin Mizrahi | Internal Medicine | 216 N Broad St, 5th Floor, Philadelphia, PA 19102-1121 | 2007-05-22 |
| 1558575894 | M. Velma Weitz | Nurse Practitioner | 216 N Broad St, Philadelphia, PA 19102-1121 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861482424 | Kevin A Gingrich | Orthopaedic Surgery | 216-220 N. Broad Street, 2nd Floor Feinstein Building, Philadelphia, PA 19102-1121 | 2005-10-25 |
| 1952883910 | John Stammers | Orthopaedic Surgery | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4290 | 2018-09-05 |
| 1154738599 | Claudio Diaz Ledezma | Orthopaedic Surgery | 200 Locust St, Apartment 29h, Philadelphia, PA 19106-3914 | 2014-07-17 |
| 1174942486 | Samik Banerjee | Orthopaedic Surgery | 111 S 11th St Ste 2170, Philadelphia, PA 19107-4824 | 2014-04-15 |
| 1336586379 | Paul Bernard Mckenna | Orthopaedic Surgery | 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 | 2013-05-31 |
| 1851684161 | James P Cashman | Orthopaedic Surgery | 925 Chestnut St, Philadelphia, PA 19107-4216 | 2011-05-18 |
| 1174841258 | John Anthony Anderson | Orthopaedic Surgery | 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 | 2010-05-13 |
| 1528219334 | James Nace | Orthopaedic Surgery | 4190 City Ave, Pcom-gme, Philadelphia, PA 19131 | 2008-10-10 |
| 1578629572 | Mark Thomas Dillon | Orthopaedic Surgery | 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104-4206 | 2006-12-28 |
| 1962515965 | Univ of Penn-orthopedic Surgery | Orthopaedic Surgery | 3400 Spruce St, 2 Silverstein, Philadelphia, PA 19104-4206 | 2006-08-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
Please comment or provide details below to improve the information on NORMAN A JOHANSON.
| 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.