ISAIAH MICAH JOHNSON (NPI# 1811065725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811065725 |
| Entity Type | Individual |
| Full Name | ISAIAH MICAH JOHNSON |
| Credential | M.D. |
| Practice Address |
102 Highland Ave Se Suite 303 Roanoke VA 24013-2256 |
| Mailing Address |
1906 Belleview Ave Se Roanoke VA 24014-1838 |
| Practice Telephone | 5409859715 |
| Practice Fax Number | 5409859890 |
| Mailing Telephone | 5409812987 |
| Mailing Fax Number | 5403445280 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 0101245336 | VA | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 30001 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SELECT HEALTH | 20064957 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243434 | Isaiah T Johnson | Physical Therapist | 1212 Columbia St, Houston, TX 77008-7012 | 2020-10-20 |
| 1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
| Street Address |
102 HIGHLAND AVE SE SUITE 303 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880408 | Kurt Y. Chen | Specialist | 102 Highland Ave Se, Ste 104, Roanoke, VA 24013-2255 | 2005-06-09 |
| 1235383555 | Vanessa Lee Hedge | Nurse Practitioner | 102 Highland Ave Se, Suite 301, Roanoke, VA 24013-2256 | 2008-11-13 |
| 1790945319 | Christopher Andrew Rippel | Urology | 102 Highland Ave Se, Suite 105, Roanoke, VA 24013-2256 | 2008-06-17 |
| 1619167319 | John Scott Repass Sr. | Dentist | 102 Highland Ave Se, 301 Community Medical Bldg, Roanoke, VA 24013-2253 | 2007-07-29 |
| 1992904353 | Valley Ob/gyn, PC | Exclusive Provider Organization | 102 Highland Ave Se, Ste. 304, Roanoke, VA 24013-2256 | 2007-07-16 |
| 1609098219 | Emily Ann Evans-hoeker | Obstetrics & Gynecology | 102 Highland Ave Se, Suite 304, Roanoke, VA 24013-2256 | 2007-05-03 |
| 1992832703 | Lillian B Beahm | Audiologist | 102 Highland Ave Se, Roanoke, VA 24013-2256 | 2007-02-28 |
| 1275682098 | Debbie K Cline | Nurse Practitioner | 102 Highland Ave Se, Suite 303, Roanoke, VA 24013-2256 | 2007-01-10 |
| 1598848848 | Head Adn Neck Medicine and Surgery | Specialist | 102 Highland Ave Se, Suite 104, Roanoke, VA 24013-2256 | 2006-10-23 |
| 1982794970 | Urology Associates, Ltd | Specialist | 102 Highland Ave Se, Suite 105, Roanoke, VA 24013-2256 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1801251806 | Emily Lawson Bennett | Nurse Practitioner | 101 Elm Ave Se, Roanoke, VA 24013 | 2015-12-18 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
| Find all providers in zip 24013 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437417730 | Richard Vernon Forth | Obstetrics & Gynecology | 3349 Somercroft Ct, Roanoke, VA 24014-1370 | 2012-04-25 |
| 1417924960 | Debra H Clapp | Obstetrics & Gynecology | 4231 Colonial Ave, Suite 1, Roanoke, VA 24018-4002 | 2006-03-03 |
| 1366418626 | David Lawrence Williams | Obstetrics & Gynecology | 5743 Salisbury Dr, Roanoke, VA 24018-3861 | 2006-02-27 |
| 1285629345 | Joseph L Troise | Obstetrics & Gynecology | 6136 Peters Creek Rd, Roanoke, VA 24019-4063 | 2005-09-15 |
| 1427051853 | Eduardo Lara-torre | Obstetrics & Gynecology | 902 S Jefferson St, Roanoke, VA 24016 | 2005-05-31 |
| 1235558982 | Jessica Noelle Sosa-stanley | Obstetrics & Gynecology | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2014-04-09 |
| 1073956314 | Jaclyn Denise Nunziato James | Obstetrics & Gynecology | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2013-04-16 |
| 1871836270 | Sarah Evans | Obstetrics & Gynecology | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2013-04-03 |
| 1245572122 | Julie Cristina Verdi | Obstetrics & Gynecology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2013-03-19 |
| 1063752616 | Brittany Cook Kane | Obstetrics & Gynecology | 21 Highland Ave Se, Roanoke, VA 24013-2201 | 2013-02-19 |
| Find all providers in ROANOKE | ||||
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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.