DR. MICHAEL D JOHN (NPI# 1790788586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790788586 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D JOHN |
| Credential | MD |
| Practice Address |
620 W 15th St Edmond OK 73013-3617 |
| Practice Telephone | 4053590551 |
| Practice Fax Number | 4053593061 |
| Mailing Telephone | 4053590551 |
| Mailing Fax Number | 4053593061 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 15126 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922559384 | Michael John | Optometrist | 1639 Anderson Ave., Bock, MN 56313 | 2016-10-20 |
| 1285919969 | Michael Jay John | Registered Nurse | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2011-10-13 |
| Street Address |
620 W 15TH ST |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124592738 | Andrew John, Md, Pllc | Dermatology | 620 W 15th St, Edmond, OK 73013-3617 | 2019-01-16 |
| 1609193614 | Andrew Riley John | Dermatology | 620 W 15th St, Edmond, OK 73013-3617 | 2010-04-29 |
| 1912043019 | Michael D John Md PC | Dermatology | 620 W 15th St, Edmond, OK 73013-3617 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427543289 | At Home Dermatology | Dermatology | 2816 Lamond Hill Ave, Edmond, OK 73034-6978 | 2018-06-25 |
| 1174843296 | Todd Mollet | Dermatology | 2017 W I 35 Frontage Rd Ste 270, Edmond, OK 73013-8562 | 2010-06-11 |
| 1336767383 | Southern Plains Medical Center Inc | Dermatology | 9 N Bryant Ave, Edmond, OK 73034-6307 | 2020-07-07 |
| 1124592738 | Andrew John, Md, Pllc | Dermatology | 620 W 15th St, Edmond, OK 73013-3617 | 2019-01-16 |
| 1609193614 | Andrew Riley John | Dermatology | 620 W 15th St, Edmond, OK 73013-3617 | 2010-04-29 |
| 1912043019 | Michael D John Md PC | Dermatology | 620 W 15th St, Edmond, OK 73013-3617 | 2007-01-29 |
| 1528097904 | Hillary Seth Lawrence | Dermatology | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205320579 | Leslie Rainbolt | Dermatology | 6821 Nw Grand Blvd, Oklahoma City, OK 73116-5413 | 2018-06-19 |
| 1285138032 | Saints Medical Group, LLC | Dermatology | 1440 N Mustang Road, Mustang, OK 73064-7214 | 2018-03-19 |
| 1871012955 | Ssm Health Care of Oklahoma Inc | Dermatology | 3400 S Douglas Blvd Ste 305, Oklahoma City, OK 73150-1018 | 2017-09-11 |
| 1124543145 | Ross C Hensley M. D., Inc. | Dermatology | 4417 W Gore Blvd Ste 7, Lawton, OK 73505-5978 | 2017-08-10 |
| 1801320106 | Epiphany Dermatology of Oklahoma, LLC | Dermatology | 6717 South Yale Avenue, Suite 101, Tulsa, OK 74136-3318 | 2017-04-13 |
| 1962869313 | Paige Elizabeth Beverly | Dermatology | 13100 N Western Ave Ste 301, Oklahoma City, OK 73114-1432 | 2016-01-15 |
| 1629479258 | Dermatology Associates of Oklahoma LLC | Dermatology | 3111 Azalea Park Dr, Muskogee, OK 74401-2284 | 2014-09-15 |
| 1447667613 | Janelle Marshall Pavlis | Dermatology | 800 W Boise Cir Ste 400, Broken Arrow, OK 74012 | 2014-07-18 |
| 1720325533 | Saints Medical Group, LLC | Dermatology | 9720 Broadway Extension, Oklahoma City, OK 73114 | 2013-01-14 |
| 1770845729 | Saints Medical Group LLC | Dermatology | 13128 N Macarthur Blvd, Oklahoma City, OK 73142-3017 | 2012-06-14 |
| Find all providers with the same taxonomy | ||||
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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.