DR. JOEL DAVID JOHNSON (NPI# 1922090497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922090497 |
| Entity Type | Individual |
| Full Name | DR. JOEL DAVID JOHNSON |
| Credential | M.D. |
| Practice Address |
618 S Broadway Ave Tyler TX 75701-1665 |
| Practice Telephone | 9035969900 |
| Practice Fax Number | 9035960242 |
| Mailing Telephone | 9035969900 |
| Mailing Fax Number | 9035960242 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2011-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
G7829 | TX | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
G7829 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 079835701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760700835 | Joel Johnson | Chiropractor | 215 Winston, Rock Springs, WY 82901-5465 | 2010-05-13 |
| 1568675981 | Joel Jaime Johnson Jr. | Counselor | 1165 E. Main, Alice, TX 78332 | 2007-05-08 |
| 1760580583 | Joel I Johnson | Psychologist | 6244 Poplar, Memphis, TN 38119-4732 | 2006-09-20 |
| 1033131248 | Joel Earl Johnson | Dentist | 9 Office Park Ct, Columbia, SC 29223-5957 | 2006-07-24 |
| 1649247370 | Joel M Johnson | Surgery | 1007 Greenfield Drive, Tifton, GA 31794-3795 | 2006-03-01 |
| 1689658973 | Joel A Johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 Lakeshore Dr., Ishpeming, MI 49849 | 2005-12-01 |
| 1194712646 | Joel Elvin Johnson | Chiropractor | 13720 E 86th St N, Suite 130, Owasso, OK 74055-8704 | 2005-09-30 |
| 1720696552 | Joel Scott Johnson II | Student in an Organized Health Care Education/Training Program | 1851 N Mckenzie St Ste 200, Foley, AL 36535-4700 | 2020-07-17 |
| 1992180582 | Joel Johnson | Nurse Practitioner | 4315 Highland Park Blvd, Ste A, Lakeland, FL 33813-1639 | 2015-07-23 |
| 1417352147 | Joel Alexander Johnson | Nurse Anesthetist, Certified Registered | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2014-10-23 |
| Street Address |
618 S BROADWAY AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636017 | Jonathan Adam Markowitz | Internal Medicine | 618 S Broadway Ave, Tyler, TX 75701-1665 | 2005-08-18 |
| 1376747196 | J. David Johnson,md,pa | Specialist | 618 S Broadway Ave, Tyler, TX 75701-1665 | 2007-06-14 |
| 1912931213 | Tara Leigh Taylor | Internal Medicine | 618 S Broadway Ave, Tyler, TX 75701-1665 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1700171287 | Leon L Tung | Internal Medicine | 619 S Fleishel Ave Ste 100, Tyler, TX 75701-2004 | 2011-06-13 |
| 1386636017 | Jonathan Adam Markowitz | Internal Medicine | 618 S Broadway Ave, Tyler, TX 75701-1665 | 2005-08-18 |
| 1316945694 | Jeffrey W. Fidone | Internal Medicine | 15210 County Road 164, Tyler, TX 75703 | 2005-07-12 |
| 1710981196 | George David Gass | Internal Medicine | 912 S Fleishel Ave, Tyler, TX 75701-2018 | 2005-06-13 |
| 1003198391 | Varalaxmi Bhavani Nannaka | Internal Medicine | 912 S Fleishel Ave, Tyler, TX 75701-2018 | 2011-09-13 |
| 1093948333 | Carla Cecilia Wang-kocik | Internal Medicine | 912 S Fleishel Ave, Tyler, TX 75701-2018 | 2009-09-03 |
| 1619160512 | Bernard Kenechukwu Ezigbo | Internal Medicine | 800 E Dawson St, Tyler, TX 75701-2036 | 2007-08-23 |
| 1033206602 | Jamil Akhtar Abbasi | Internal Medicine | 800 E Dawson St, Tyler, TX 75701-2036 | 2006-10-06 |
| 1710998232 | Lisa Lynelle Gamble | Internal Medicine | 800 E Dawson St, Tyler, TX 75701-2036 | 2006-08-10 |
| 1871512137 | Terri L Hoffman | Internal Medicine | 800 E Dawson St, Tyler, TX 75701-2036 | 2006-07-18 |
| Find all providers in TYLER | ||||
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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.