ANDREW JOHNSON (NPI# 1821402736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821402736 |
| Entity Type | Individual |
| Full Name | ANDREW JOHNSON |
| Credential | M.D. |
| Practice Address |
White Street Bldg As-100 Mcas New River Jacksonville NC 28545-0000 |
| Practice Telephone | 9104496500 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2016-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101259055 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366981938 | Andrew Ho'ola'iku Johnson | Dentist | 45-943 Kamehameha Hwy Ste 201, Kaneohe, HI 96744 | 2017-02-15 |
| 1477904134 | Andrew Johnson | Nurse Practitioner | 9532 Volga Dr, Commerce Township, MI 48382-3666 | 2016-06-23 |
| 1184072209 | Andrew David Johnson | Internal Medicine | 999 Guardian Way, Cookeville, TN 38506-0680 | 2016-05-31 |
| 1528471117 | Andrew Johnson | Specialist/Technologist | 4575 Lawrenceville Hwy Nw, Lilburn, GA 30047-3617 | 2014-06-11 |
| 1982951653 | Andrew Keith Johnson | Physical Therapist | 6841 Mountain View Rd., Ooltewah, TN 37363 | 2012-08-13 |
| 1619208600 | Andrew Johnson | Emergency Medical Technician, Basic | 5452 Bancroft Ave, Apt 105, Oakland, CA 94601-5839 | 2010-01-15 |
| 1447435854 | Andrew Loren Johnson | Emergency Medical Technician, Basic | 111 W. Harrison St, Seattle, WA 98119 | 2008-01-03 |
| 1881881936 | Andrew F Johnson | Physical Therapist | 10907 I-10 East, Houston, TX 77029-1911 | 2007-10-02 |
| 1508069980 | Andrew Robert Johnson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # L-605, Portland, OR 97239-3011 | 2007-06-06 |
| 1366657165 | Andrew Miles Johnson | Dentist | 601 S Carr Rd Ste 350, Renton, WA 98055-5854 | 2007-05-14 |
| Street Address |
WHITE STREET BLDG AS-100 MCAS NEW RIVER |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28545-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386803872 | Jennifer Louise Knuth | Military Health Care Provider | Psc Box 21034, Jacksonville, NC 28545-1034 | 2008-06-09 |
| 1013176189 | Carolina Bornstein | Military Health Care Provider | Building As 100 White St, Mcas Nr, Jacksonville, NC 28545-1034 | 2008-06-04 |
| 1083777460 | Tyler Vachon | Military Hospital | Mcas Nr Mag 29 Gas, As 100, Jacksonville, NC 28545-1034 | 2006-12-18 |
| 1487626800 | Peter Wechgelaer | Preventive Medicine | Medical Clinic Mcas New River, Psc Box 21034, Jacksonville, NC 28545-1034 | 2006-02-02 |
| 1497896658 | Sos Inc | Community/Behavioral Health | 215 Memorial Drive, Jacksonville, NC 28545-6333 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1477154680 | C.n.e Health Care LLC | In Home Supportive Care | 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 | 2020-11-04 |
| 1972104198 | Kristen Dragotta | Physical Therapist | 8876 A C Skinner Pkwy Unit 8215, Jacksonville, FL 32256-0909 | 2020-11-04 |
| 1376144774 | Jennifer Mcmanus | Psychologist | 4143 San Juan Ave, Jacksonville, FL 32210-3333 | 2020-11-03 |
| 1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
| 1063013647 | Tia Patterson | Nurse's Aide | 9415 Devonshire Blvd, Jacksonville, FL 32208-7002 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1902406598 | Heidi Ellen Page | Registered Nurse | 3960 Marsh Bluff Dr, Jacksonville, FL 32226-4783 | 2020-11-01 |
| Find all providers in JACKSONVILLE | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680220 | Florida Injury & Regenerative Medicine, Pllc | General Practice | 8640 Philips Hwy Ste 10, Jacksonville, FL 32256-1208 | 2020-05-15 |
| 1689296808 | Sajid Khan Md LLC | General Practice | 4600 Touchton Rd E Ste 1150, Jacksonville, FL 32246-1542 | 2020-05-11 |
| 1396392767 | Yurelsy Galvez Ricardo | General Practice | 725 Middle Branch Way, Jacksonville, FL 32259-6201 | 2019-08-21 |
| 1639721772 | Deborah Brabham | General Practice | 10990 Lydia Estates Dr E, Jacksonville, FL 32218-6940 | 2019-07-09 |
| 1851868459 | Nursing On Demand Inc | General Practice | 1260 Mcduff Ave S # 3, Jacksonville, FL 32205-8030 | 2018-11-01 |
| 1295202984 | Summit Integrative Health, LLC | General Practice | 12627 San Jose Blvd Ste 305, Jacksonville, FL 32223-8639 | 2018-10-31 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1255859641 | Mcgowan Medical Centers, Pa | General Practice | 3021 N Main St, Jacksonville, FL 32206-2122 | 2017-09-06 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1700247863 | Emily Calhoun | General Practice | 554 Kelly Ln, Jacksonville, FL 32234-3049 | 2016-03-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28545 |
Please comment or provide details below to improve the information on ANDREW JOHNSON.
| 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.