DEBORAH M JOHNSON (NPI# 1902809692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902809692 |
Entity Type | Individual |
Full Name | DEBORAH M JOHNSON |
Credential | M.D. |
Practice Address |
4950 Essen Ln Ste 300 Baton Rouge LA 70809-3739 |
Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
Practice Telephone | 2257570343 |
Practice Fax Number | 2257578354 |
Mailing Telephone | 2257655727 |
Mailing Fax Number | 2257659196 |
Enumeration Date | 2005-05-27 |
Last Update Date | 2020-06-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
021976 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1686760 | 05 | |
LA | MEDICARE GROUP NUMBER PIN | 5W980CK94 | 01 |
LA | MEDICAID GROUP | 1446891 | 01 |
LA | RAILROAD MEDICARE PIN | P00157711 | 01 |
LA | MEDICARE GROUP | 5CK94 | 01 |
LA | RAILROAD MEDICARE GROUP | DB9815 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
155 Hospital Dr, Ste 100, Lafayette, LA 705032852 | 3373540030 | 3373540026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407467731 | Deborah Johnson | Technician | 623 2nd St, Martinsburg, WV 25404-4546 | 2020-08-11 |
1861000135 | Deborah L Johnson | Nurse Practitioner | 2 Mcgregor Pl, Johnson City, TN 37604-1454 | 2020-07-22 |
1194289025 | Deborah B Johnson | Social Worker | 4700 N State Road 7 Ste 208, Lauderdale Lakes, FL 33319-5804 | 2019-01-24 |
1063876365 | Deborah Johnson | Registered Nurse | 5401 Rusty Anchor Ct, Las Vegas, NV 89130-1547 | 2016-04-12 |
1538520853 | Deborah Johnson | Home Health Aide | 8555 Rodebaugh Rd, Reynoldsburg, OH 43068-9792 | 2016-03-14 |
1336505130 | Deborah Johnson | Speech-Language Pathologist | 7963 Little Creek Hwy, Dublin, VA 24084-7401 | 2016-01-08 |
1154791671 | Deborah Lyn Johnson | Registered Nurse | 912 S Jefferson St, Batavia, IL 60510-3038 | 2015-09-26 |
1558750950 | Deborah Smith Johnson | Nurse Practitioner | 927 East Blvd., Southeast Anesthesiology Consultants, Charlotte, NC 28203 | 2015-01-22 |
1407108699 | Deborah Lynn Johnson | Student in an Organized Health Care Education/Training Program | 1900 Mansfield Lucas Road, Mansfield, OH 44903-8688 | 2012-10-11 |
1487901062 | Deborah Anita Johnson | Pharmacist | 91-2117 Kaioli St, Apt. 2703, Ewa Beach, HI 96706-6192 | 2012-08-13 |
Street Address |
4950 ESSEN LN STE 300 |
City | BATON ROUGE |
State | LA |
Zip Code | 70809-3739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942830682 | Jessica Christi Gaubert | Nurse Practitioner | 4950 Essen Ln Ste 300, Baton Rouge, LA 70809-3739 | 2020-01-22 |
1265803464 | Curtrell Latrice Smith | Nurse Practitioner | 4950 Essen Ln Ste 300, Baton Rouge, LA 70809-3739 | 2015-10-13 |
1629334347 | Sobia Ozair | Internal Medicine | 4950 Essen Ln Ste 300, Baton Rouge, LA 70809 | 2012-04-06 |
1225210818 | Regional Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4950 Essen Ln Ste 300, Baton Rouge, LA 70809-3432 | 2007-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
Find all providers in zip 70809 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265713572 | Shaista H. Faruqui, M.d. Apmc | Internal Medicine | 5320 Dijon Dr, Baton Rouge, LA 70808-4313 | 2011-08-31 |
1477601417 | Brian Gill Barnett | Internal Medicine | 17050 Medical Center Drive, Physician Plaza II 4th Floor, Baton Rouge, LA 70816 | 2007-01-08 |
1861489783 | Shaista Hoda Faruqui | Internal Medicine | 5320 Dijon Drive, Baton Rouge, LA 70808-4395 | 2005-10-05 |
1982155867 | Baton Rouge General Medical Center | Internal Medicine | 8595 Picardy Ave, Suite 400, Baton Rouge, LA 70809-3670 | 2016-10-17 |
1275971475 | Jeanette M Kovtun | Internal Medicine | 4950 Essen Ln Ste 500, Baton Rouge, LA 70809 | 2013-06-10 |
1629334347 | Sobia Ozair | Internal Medicine | 4950 Essen Ln Ste 300, Baton Rouge, LA 70809 | 2012-04-06 |
1871754028 | Radhika M. Thorn | Internal Medicine | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2008-06-20 |
1972795250 | Joseph Ryan Shows | Internal Medicine | 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 | 2007-08-10 |
1194916650 | Lauren Zatarain | Internal Medicine | 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 | 2007-08-08 |
1730370875 | Scott R Seals | Internal Medicine | 8595 Picardy Ave, Suite 400, Baton Rouge, LA 70809-3670 | 2007-08-05 |
Find all providers in BATON ROUGE |
City | BATON ROUGE |
Zip Code | 70809 |
Please comment or provide details below to improve the information on DEBORAH M 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.