SUSAN JOHNSON, MD LLC (NPI# 1952330631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952330631 |
| Entity Type | Organization |
| Organization Name | SUSAN JOHNSON, MD LLC |
| Other Organization Name | JOHNSON CENTER FOR PELVIC HEALTH |
| Practice Address |
2209 Lloyd Ctr Portland OR 97232-1315 |
| Mailing Address |
Po Box 23200 Portland OR 97281-3200 |
| Practice Telephone | 5033459339 |
| Practice Fax Number | 5033459339 |
| Mailing Telephone | 5033459339 |
| Mailing Fax Number | 5033459339 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2011-04-14 |
| Authorized Official Name | DR. SUSAN HARRINGTON JOHNSON (MANAGER) |
| Authorized Official Telephone | 5033459339 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD17446 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 8145617 | 05 |
| Other Name | Type Code |
|---|---|
| Johnson Center for Pelvic Health | Doing Business As Name - Organization |
| Street Address |
2209 LLOYD CTR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1649775610 | Asma S. Ahmad, Md, LLC | Obstetrics & Gynecology | 4160 Sw Charming Way, Portland, OR 97225-2025 | 2018-03-29 |
| 1033323613 | Laila Raad Sillay | Obstetrics & Gynecology | 9555 Sw Barnes Rd Ste 360, Portland, OR 97225-6617 | 2007-05-10 |
| 1528181625 | Emily Christina Culbert | Obstetrics & Gynecology | 4626 Se Salmon St, Portland, OR 97215-2542 | 2007-04-06 |
| 1891831558 | Margaret J Schoeller | Obstetrics & Gynecology | 1355 Congress Street, Portland, ME 04102-2148 | 2007-01-29 |
| 1922174507 | Diana E Bell | Obstetrics & Gynecology | 9427 Sw Barnes Rd Ste 599, Portland, OR 97225-6652 | 2006-11-27 |
| 1801905534 | Virginia Jane Smith | Obstetrics & Gynecology | Kaiser Permanente Interstate Medical Office East, 3550 N Interstate Ave, Portland, OR 97227-1043 | 2006-08-29 |
| 1780697177 | Richard M Wong | Obstetrics & Gynecology | 1025 Nw Couch St Apt 612, Portland, OR 97209-4130 | 2006-08-15 |
| 1922034115 | Laura A Korman | Obstetrics & Gynecology | 2250 Nw Flanders Street, Suite 205, Portland, OR 97210-5410 | 2006-06-23 |
| 1639122013 | John O Bergstrom | Obstetrics & Gynecology | 9155 Sw Barnes Rd, Suite 634, Portland, OR 97225-6633 | 2006-05-18 |
| Find all providers in PORTLAND | ||||
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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.