KEVIN LYNCH JOHNSON


Address: 680 Centre St, Brockton, MA 02302
Phone: 5089417400

KEVIN LYNCH JOHNSON (NPI# 1922658632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922658632
Entity Type Individual
Full Name KEVIN LYNCH JOHNSON
Practice Address 680 Centre St
Brockton
MA 02302
Mailing Address 680 Centre St
Brockton
MA 02302-3308
Practice Telephone 5089417400
Practice Fax Number 5089416200
Mailing Telephone 5089417400
Mailing Fax Number 5089416200
Enumeration Date 2019-09-14
Last Update Date 2019-11-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2601 Silver Ln Ne, Minneapolis, MN 554213432 6128891226

Other Providers KEVIN JOHNSON

NPI Name Taxonomy Address Enumeration
1912463704 Kevin Johnson Chiropractor 2601 E Chapman Ave Ste 214, Fullerton, CA 92831-3737 2019-02-16
1558834234 Kevin Timothy Johnson Physician Assistant 411 Naylor Mill Rd, Salisbury, MD 21801-1191 2019-01-06
1790283588 Kevin Johnson Case Manager/Care Coordinator 201 W. Springfield Ave, Knoxville, TN 37917 2018-01-26
1205384955 Kevin Johnson Jr. Community Health Worker 1261 Roslyn Ave, Akron, OH 44320-3424 2016-09-12
1073949400 Kevin William Johnson Counselor 1147 16th St N, St Petersburg, FL 33705-1104 2013-09-17
1669752200 Kevin L Johnson Pharmacist 2600 S 48th St, Lincoln, NE 68506-2502 2011-08-26
1346536463 Kevin Charles Johnson Pharmacist 747 Highway 259 North, Kilgore, TX 75662-5175 2011-06-27
1770806374 Kevin Neil Johnson Physical Medicine & Rehabilitation 9913 214th St W Ste B, Lakeville, MN 55044-1914 2010-03-10
1326280991 Kevin Anthony Johnson Family Medicine 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 2009-03-29
1558566588 Kevin Charles Johnson Speech-Language Pathologist 8620 Holly Dr, Suite 230, Everett, WA 98208-1825 2007-06-19

Office Location

Street Address 680 CENTRE ST
City BROCKTON
State MA
Zip Code 02302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639176910 Marcia Waitzman Obstetrics & Gynecology 680 Centre St, Brockton, MA 02302-3308 2005-07-01
1770196396 Samantha Lipsky Physician Assistant 680 Centre St, Brockton, MA 02302-3308 2020-08-24
1760009328 Mandi Ella Clegg Social Worker 680 Centre St, Brockton, MA 02302-3308 2020-06-30
1972128643 Matthew Hall Wilson Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-09
1679198493 Alyssa Dicosmo Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-09
1720603566 Tessie Allan Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1588289375 Collin Rozanski Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1619592417 Balaji Arun Jothishankar Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1013532845 Angell Shi Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1386269124 Rebecca Yanovsky Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427513373 Miriam Monteiro Social Worker 688 Plain Street, Brockton, MA 02302 2019-02-05
1619432523 Shirley Elefson Social Worker 330 Crescent Street, Brockton, MA 02302 2019-02-05
1578055505 Steigmward Desir Specialist 472 E Ashland St, Brockton, MA 02302 2018-06-05
1114417797 Katherine Douglas Van Schaik Student in an Organized Health Care Education/Training Program Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 2018-05-18
1700376365 Emmanuel Carrodeguas Student in an Organized Health Care Education/Training Program Brockton Hospital, 680 Centre Street, Brockton, MA 02302 2018-05-18
1700303856 My Care, LLC Home Health 307 Field Street, Brockton, MA 02302 2017-08-29
1982124988 Shavon Franks Psychologist 30 Downey Rd, Brockton, MA 02302 2017-06-21
1831629286 Kings & Queens Empowered Religious Nonmedical Health Care Institution 312 Carl Ave, Brockton, MA 02302 2017-06-18
1487193389 Roseline Eliezer Licensed Practical Nurse 17 Simeon Avenue, Brockton, MA 02302 2017-02-13
1184008989 Danielle Parker Student in an Organized Health Care Education/Training Program 23 Grinnell Rd, Brockton, MA 02302 2015-07-13
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972132652 Lindbergh Saladin Physician Assistant 63 Blendall St, Brockton, MA 02302-1741 2020-04-05
1750912754 Marie Sonie Nelson Physician Assistant 31 Guild Rd, Brockton, MA 02302-3224 2020-01-28
1588949978 John C Palfrey Physician Assistant 161 Mulberry St, Brockton, MA 02302-2010 2011-10-17
1144326968 Mary Beth L. Maher Physician Assistant 325 N Pearl St Gsmc, Express Care, Brockton, MA 02301 2006-09-16
1770196396 Samantha Lipsky Physician Assistant 680 Centre St, Brockton, MA 02302-3308 2020-08-24
1669096079 Alyssa Marie Pasini Physician Assistant 680 Centre St, Brockton, MA 02302-3308 2020-06-01
1346861531 Aki Ishida Physician Assistant 680 Centre St, Brockton, MA 02302-3308 2020-04-29
1811523913 Paige Graham Physician Assistant 235 N Pearl St, Brockton, MA 02301-1794 2020-03-20
1891321055 Christin Newman Hoffstadt Physician Assistant 35 Pearl St Ste 200, Brockton, MA 02301-2866 2020-03-19
1215583901 Stephen D Gunning Physician Assistant 680 Centre St, Brockton, MA 02302-3395 2019-08-17
Find all providers in BROCKTON

Competitor

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City BROCKTON
Zip Code 02302

Improve Information

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Dataset Information

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.

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