DR. BLAIR R JOHNSON (NPI# 1891894200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891894200 |
| Entity Type | Individual |
| Full Name | DR. BLAIR R JOHNSON |
| Credential | MD |
| Practice Address |
41 Mall Rd Burlington MA 01805-0001 |
| Practice Telephone | 7817448000 |
| Practice Fax Number | 7817445348 |
| Mailing Telephone | 7817448000 |
| Mailing Fax Number | 7817445348 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 156389 | MA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 156389 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3191877 | 05 | |
| MA | 110060975A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639722564 | Blair Johnson | Case Manager/Care Coordinator | 4762 Woodview Dr, Del City, OK 73115-4224 | 2019-07-19 |
| 1538553797 | Blair Johnson | Physical Therapist | 1815 E Ireland Rd Ste 100, South Bend, IN 46614-2845 | 2015-03-26 |
| 1982989661 | Blair Johnson | Counselor | 418 Eureka St, Weatherford, TX 76086-5439 | 2011-10-13 |
| 1194916171 | Blair C Johnson | Pharmacist | 13855 Rogers Dr, Rogers, MN 55374-4408 | 2007-08-06 |
| 1417029158 | Blair Johnson | Dentist | 1120 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-11-15 |
| 1124082292 | Blair R Johnson | Physician Assistant | 420 W Rowland St, Covina, CA 91723-2943 | 2006-04-14 |
| Street Address |
41 MALL RD |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588923 | Gene Wong | Radiology | 41 Mall Rd, Burlington, MA 01805 | 2005-06-15 |
| 1689289977 | Justin Li | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-09-13 |
| 1235743741 | Rebecca C Mccarthy | Registered Nurse | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-09-02 |
| 1730791419 | Jason Lefkowitz | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-08-23 |
| 1235749185 | Jing Lun James Xu | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-08-05 |
| 1841808482 | Evgeny Romanov | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-07-20 |
| 1780201319 | Nicole Emily Arsenault | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-30 |
| 1841817590 | Joseph Clinton Mccabe | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-29 |
| 1730706508 | Hina Bhat | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-28 |
| 1902423734 | Jonathan Tong Xu | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891226791 | Yao Li | Internal Medicine | Uvmmc 111 Colchester Ave, Burlington, VT 05401 | 2017-03-22 |
| 1689105652 | Louis Bassett Porter | Internal Medicine | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2017-03-22 |
| 1518312388 | Michael Jeffrey Stutzman | Internal Medicine | 111 Colchester Avenue, Fletcher 311, Uvm Medical Center, Dept of Medicine, Burlington, VT 05401 | 2016-04-29 |
| 1316332208 | Vishal Shah | Internal Medicine | 111 Colchester Ave # 311, Department of Medicine The University of Vermont Medica, Burlington, VT 05401 | 2015-03-30 |
| 1356745319 | Louise King | Internal Medicine | 1214 Vaughn Rd # 2800, Burlington, NC 27217-2863 | 2014-10-20 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1972949949 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1611 Flora Ave, Burlington, NC 27217-1017 | 2013-05-17 |
| 1548502966 | Emily Greenberger | Internal Medicine | 111 Colchester Ave Shepardson 567, Internal Medicine Hospitalist Service, Burlington, VT 05401 | 2013-03-24 |
| 1548523988 | Jessica Lynch | Internal Medicine | 41 Mall Road Department of Palliative Care, Burlington, MA 01805-0001 | 2012-06-20 |
| 1912263864 | Ryan G Seibert | Internal Medicine | 41 Mall Road Lahey Hospital and Medical Ctr, Burlington, MA 01805-1114 | 2012-04-04 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
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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.