DR. CALVIN J JOHNSON (NPI# 1952366221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952366221 |
| Entity Type | Individual |
| Full Name | DR. CALVIN J JOHNSON |
| Credential | MD |
| Practice Address |
2410 Susannah St Johnson City TN 37601-1748 |
| Practice Telephone | 4232829011 |
| Practice Fax Number | 4232823862 |
| Mailing Telephone | 4232829011 |
| Mailing Fax Number | 4232823862 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 10841 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3164509 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661786 | Calvin A Johnson Jr. | Massage Therapist | 3983 Lavista Rd Ste 184, Tucker, GA 30084-5150 | 2020-05-20 |
| 1114425352 | Calvin Johnson Jr. | Counselor | 26845 Point Lookout Rd, Leonardtown, MD 20650-4935 | 2018-01-23 |
| 1467965301 | Calvin Johnson | Counselor | 3300 Churn Creek Rd, Redding, CA 96002-2513 | 2017-11-14 |
| 1679015283 | Calvin D Johnson Jr. | Massage Therapist | 738 University Village Dr, Blythewood, SC 29016-7611 | 2016-11-14 |
| 1801180906 | Calvin Johnson | Behavioral Analyst | 2470 Wrondel Way, Suite 150b, Reno, NV 89502-3701 | 2011-06-06 |
| 1669790499 | Calvin B Johnson | Pediatrics | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2010-05-04 |
| 1699827147 | Calvin Cregg Johnson I | Counselor | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2007-01-17 |
| 1861427114 | Calvin M Johnson Jr. | Specialist | 2427 Saint Charles Ave, 2nd Floor, New Orleans, LA 70130-5825 | 2006-07-12 |
| 1396732210 | Calvin Johnson | Anesthesiology | 8700 Beverly Blvd, Suite 8211, West Hollywood, CA 90048-1804 | 2005-10-05 |
| Street Address |
2410 SUSANNAH ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346223948 | Joseph R Hurst | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2005-11-28 |
| 1760098669 | Justin Alan Sylvester | Physical Therapy Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2020-09-17 |
| 1316562549 | Frankie Tidwell | Nurse Practitioner | 2410 Susannah St, Johnson City, TN 37601-1748 | 2020-06-12 |
| 1861025744 | Jalen Bridwell | Physical Therapist | 2410 Susannah St, Johnson City, TN 37601-1748 | 2020-02-19 |
| 1336786383 | Andrew Blythe | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-12-09 |
| 1659921294 | Emilee Grace Dishner | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-09-16 |
| 1154889285 | Taylor N Harmon | Physical Therapist | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-03-07 |
| 1407329246 | Mariah M Wagner | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-01-04 |
| 1497237416 | Micah A Mcfaddin | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2018-09-06 |
| 1245720382 | Stephanie Lynn Owen | Specialist/Technologist | 2410 Susannah St, Johnson City, TN 37601-1748 | 2018-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043421779 | Timothy Douglas Jenkins | Orthopaedic Surgery | 2410 Susannah Street, Johnson City, TN 37601 | 2007-05-24 |
| 1457577736 | Ted Ford Sykes | Orthopaedic Surgery | 1602 Seward Dr, Johnson City, TN 37604-7144 | 2007-04-17 |
| 1689744526 | Orest Myroslav Wasyliw | Orthopaedic Surgery | 441 Riverside Drive, Johnson City, NY 13790-2711 | 2006-11-08 |
| 1053378273 | David R Hardin | Orthopaedic Surgery | 111 Pine Ct, Johnson City, TN 37601-5357 | 2006-05-01 |
| 1346223948 | Joseph R Hurst | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2005-11-28 |
| 1245740422 | Blakeley Elizabeth Burleson | Orthopaedic Surgery | 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 | 2017-10-02 |
| 1437565074 | Alan J Aiken | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2014-07-03 |
| 1891041489 | Scott R Macdonald | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2012-08-01 |
| 1912260654 | Dustin Michael Price | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601 | 2012-06-18 |
| 1326307687 | Thomas W Gill Jr. | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601 | 2012-05-08 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.