DR. PAUL EDWARD JOHNSON (NPI# 1831171305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831171305 |
| Entity Type | Individual |
| Full Name | DR. PAUL EDWARD JOHNSON |
| Credential | M.D. |
| Practice Address |
2920 Mcintyre Dr Suite 350 Bloomington IN 47403-4221 |
| Practice Telephone | 8123322226 |
| Practice Fax Number | 8123392934 |
| Mailing Telephone | 8123322226 |
| Mailing Fax Number | 8123392934 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2012-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 01055492A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200427490 | 05 | |
| IN | MEDICARE | M400056134 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757850 | Paul Johnson | Dentist | 1301 N 40th St, Lincoln, NE 68503-2109 | 2014-07-03 |
| 1912337387 | Paul Richard Johnson | Dentist | 13132 Newport Blvd, Suite 200, Tustin, CA 92780 | 2013-11-20 |
| 1720394034 | Paul E Johnson Jr. | Psychologist | 1389 Mapleton Rd, Mapleton, ME 04757-4501 | 2010-08-24 |
| 1760645006 | Paul Louis Johnson | Anesthesiology | Dept of Anesthesiology Univ of Kentucky, 800 Rose Street, Lexington, KY 40536-0001 | 2008-07-07 |
| 1770742876 | Paul Andrew Johnson | Dentist | 2901 Pioneer Ave, Rice Lake, WI 54868-2434 | 2008-06-03 |
| 1023288255 | Paul David Johnson | Dentist | 25 Pine Cone Drive, Suite 1, Palm Coast, FL 32164 | 2008-03-04 |
| 1629268784 | Paul Robert Johnson | Counselor | 16715 Ne 79th St, Redmond, WA 98052-4425 | 2007-07-25 |
| 1467577627 | Paul Edward Johnson | Pharmacist | 3803 South Main St, Marion, NY 14505-0047 | 2007-03-20 |
| 1659495497 | Paul D Johnson | Family Medicine | 221 North 12th Street, Suite 300, Kansas City, KS 66102-0000 | 2007-03-19 |
| 1932242435 | Paul Leo Johnson | Optometrist | 11033 Carolina Place Pkwy, Pineville, NC 28134-8370 | 2007-02-14 |
| Street Address |
2920 MCINTYRE DR SUITE 350 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265869 | Janis Farquhar Stevenson | Nurse Practitioner | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2005-09-14 |
| 1962685487 | Jennifer Long | Nurse Practitioner | 2920 Mcintyre Dr, Suite 305, Bloomington, IN 47403-4221 | 2007-12-06 |
| 1356532113 | Bloomington Sleep Specialists, LLC | Internal Medicine | 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 | 2007-08-07 |
| 1982762415 | Wygonda Kay Rogers | Nurse Practitioner | 2920 Mcintyre Dr, Suite 305, Bloomington, IN 47403-4221 | 2006-12-05 |
| 1699854745 | Ent Associates of Southern Indiana, P.C. | Otolaryngology | 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 | 2006-11-02 |
| 1952487639 | Alice B Wood | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 | 2006-10-27 |
| 1609952332 | Andy J. Stafford | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 | 2006-10-27 |
| 1467538124 | Robert E Wrenn | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 | 2006-10-27 |
| 1629182233 | Monroe Surgical Associates | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2006-08-19 |
| 1205843323 | Quyen Ngoc Tran | Nurse Anesthetist, Certified Registered | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437587839 | Susan Emmerson | Otolaryngology | 1303 E Washington St, Bloomington, IL 61701-4228 | 2013-10-22 |
| 1689769929 | John Hooton Seward | Otolaryngology | 3511 Saddlebrook Ct, Bloomington, IN 47401-8549 | 2006-10-03 |
| 1326050881 | Thomas C Ocheltree | Otolaryngology | 1404 Eastland Dr Ste 209, Bloomington, IL 61701-7904 | 2006-08-13 |
| 1063442457 | Finn R Amble | Otolaryngology | 3801 General Electric Rd Ste 4, Bloomington, IL 61704 | 2006-07-03 |
| 1306816665 | Bloomington Ent PC | Otolaryngology | 1791 W 3rd St, Bloomington, IN 47404-5029 | 2006-01-26 |
| 1497014740 | Robert Zhibo Yang | Otolaryngology | 7920 Cedar Ave S, Bloomington, MN 55425-1207 | 2012-05-07 |
| 1487881058 | Osf Multispecialty Group - Eastern Region, LLC | Otolaryngology | 1701 E College Ave, Bloomington, IL 61704-2101 | 2009-06-22 |
| 1447388772 | Dennis Lee Md Ltd | Otolaryngology | 107 N Regency Dr, Bloomington, IL 61701-3515 | 2007-02-28 |
| 1699854745 | Ent Associates of Southern Indiana, P.C. | Otolaryngology | 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 | 2006-11-02 |
| 1992813174 | Robert T Russell | Otolaryngology | 1404 Eastland Dr Ste 209, Bloomington, IL 61701-7904 | 2006-08-28 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.