GLENNON L JOHNSTON (NPI# 1871830141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871830141 |
| Entity Type | Individual |
| Full Name | GLENNON L JOHNSTON |
| Credential | PA-C |
| Practice Address |
1325 N Highland Ave Aurora IL 60506-1449 |
| Mailing Address |
307 S Evergreen Ave Woodbury NJ 08096-2739 |
| Practice Telephone | 6308752222 |
| Mailing Telephone | 8566864316 |
| Mailing Fax Number | 8568488536 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085004497 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1325 N HIGHLAND AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60506-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310417 | Aurora Radiology Consultants, S.c. | Radiology | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2005-07-19 |
| 1790307999 | Dorota Teresa Kruczek | Counselor | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2020-05-11 |
| 1255967709 | Kathryn Ann Mckenna | Social Worker | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2020-03-17 |
| 1134778152 | Robert W Healy | Social Worker | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2019-09-11 |
| 1548721673 | Kristina Thomas | Social Worker | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2019-03-29 |
| 1811454333 | Meagan Gabrielle Knight | Counselor | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2019-02-21 |
| 1194298463 | Sarah Kestner | Dietitian, Registered | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2019-01-09 |
| 1306318027 | Tianna Miulli | Counselor | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2018-12-19 |
| 1831649029 | Jatame Carden | Physician Assistant | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2016-10-11 |
| 1881141125 | Tracy Butler | Nurse Practitioner | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2016-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344917 | Jesse Hines | Physician Assistant | 11945 E Cornell Cir, Aurora, CO 80014-3151 | 2020-10-23 |
| 1124632815 | Jessica Ballou | Physician Assistant | 13001 E 17th Pl Rm E7019, Aurora, CO 80045-2570 | 2020-09-01 |
| 1134732373 | Brooke Schlachtenhaufen Owens | Physician Assistant | 22021 E Prentice Pl, Aurora, CO 80015-7516 | 2020-08-27 |
| 1346881109 | Kevin Fasing | Physician Assistant | 1635 Aurora Ct Ste F722, Aurora, CO 80045-2555 | 2019-10-03 |
| 1457914731 | Alison Henderson | Physician Assistant | 3680 S Biscay Ct, Aurora, CO 80013-3618 | 2019-04-22 |
| 1033678529 | Jenna Elyse Eisses | Physician Assistant | 2234 Kenyon Ct, Aurora, IL 60502-1393 | 2019-03-14 |
| 1386156339 | Eva Marie Doyle | Physician Assistant | 837 Hardin Ave, Aurora, IL 60506-4936 | 2017-10-31 |
| 1093244626 | Amanda Lynn Roche | Physician Assistant | 270 N Kingsway Dr, Aurora, IL 60506-4521 | 2017-06-07 |
| 1558899625 | Stacey Robyn Gundry | Physician Assistant | 13121 E 17th Ave # Ms 8414, Aurora, CO 80045-2535 | 2017-06-01 |
| 1568996486 | Hannah Griffin | Physician Assistant | 13123 E 16th Ave Ste 306-b, Aurora, CO 80045-7106 | 2017-04-18 |
| Find all providers in AURORA | ||||
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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.