TIMOTHY DONALD JOHNSON (NPI# 1952495756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952495756 |
Entity Type | Individual |
Full Name | TIMOTHY DONALD JOHNSON |
Credential | MD |
Practice Address |
931 Highland Blvd #3350 Bozeman MT 59715 |
Practice Telephone | 4065863309 |
Practice Fax Number | 4065228498 |
Mailing Telephone | 4065863309 |
Mailing Fax Number | 4065228498 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2009-03-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
26812 | WI | Allopathic & Osteopathic Physicians |
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
4385A | WY | Allopathic & Osteopathic Physicians |
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
7982 | MT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 0019786 | 05 | |
MT | BLUE CROSS BLUE SHIELD | 000011161 | 01 |
IRS EIN | S0480698 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992363089 | Timothy Harold Johnson | Registered Nurse | 9209 Seminole Blvd Unit 209, Seminole, FL 33772-3142 | 2019-06-03 |
1689139354 | Timothy Edward Johnson | Behavioral Analyst | 1075 N Main Street, Chelsea, MI 48118 | 2019-02-06 |
1942721600 | Timothy Byron Johnson | Dentist | 510 N Dacie Pt, Lecanto, FL 34461-8398 | 2017-07-03 |
1598208944 | Timothy M Johnson | Contractor | 2637 Pine Tree Dr, Miramar, FL 33023 | 2016-12-02 |
1982085247 | Timothy Brian Johnson | Obstetrics & Gynecology | 9730 S Western Ave Ste 100, Evergreen Park, IL 60805-2853 | 2015-06-12 |
1942618574 | Timothy Johnson | Pharmacist | 350 Moapa Valley Boulevard, Overton, NV 89040 | 2014-07-28 |
1487999033 | Timothy Johnson | Hearing Instrument Specialist | 920 N Telshor Blvd Ste A, Las Cruces, NM 88011-8279 | 2012-12-10 |
1649555392 | Timothy Bogart Johnson | Counselor | 3785 E Sunset Rd Ste 10, Las Vegas, NV 89120-6260 | 2011-10-13 |
1548578248 | Timothy Leroy Johnson | Marriage & Family Therapist | 3650 S Pointe Cir Ste 208, Laughlin, NV 89029 | 2010-09-16 |
1437463742 | Timothy Lee Johnson | Counselor | 3100 Rhett Ct, Charlotte, NC 28273-3660 | 2010-07-28 |
Street Address |
931 HIGHLAND BLVD #3350 |
City | BOZEMAN |
State | MT |
Zip Code | 59715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588657456 | Benjamin L Blend | Pathology | 931 Highland Blvd, Suite 3220, Bozeman, MT 59715-6911 | 2005-08-25 |
1134518251 | Susan Niles | Nurse Practitioner | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2015-01-13 |
1679913800 | Casey Clarice Ebert | Podiatrist | 931 Highland Blvd, Suite 3310, Bozeman, MT 59715-6911 | 2013-07-02 |
1124468533 | April Dearing | Physical Therapist | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2013-06-29 |
1083999601 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 931 Highland Blvd, Suite 3105, Bozeman, MT 59715-6911 | 2011-10-14 |
1154556702 | Kristina Marie Hool | Internal Medicine | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2009-05-27 |
1992974497 | Bridger Child & Adolescent Psychiatry | Health Maintenance Organization | 931 Highland Blvd, Ste. 3340, Bozeman, MT 59715-6911 | 2008-02-28 |
1003090481 | Melissa Rae Reily | Internal Medicine | 931 Highland Blvd, Suite 3260, Bozeman, MT 59715-6911 | 2007-12-20 |
1134334204 | Barbara Jeanne Eckstein | Nurse Practitioner | 931 Highland Blvd, Suite 3340, Bozeman, MT 59715-6911 | 2007-05-11 |
1891817011 | Bozeman Foot and Ankle Clinic P.C. | Podiatrist | 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 | 2007-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
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Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
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 |
---|---|---|---|---|
1336386721 | Shaneyfelt Gastroenterology, PC | Internal Medicine | 931 Highland Blvd Ste 3330, Bozeman, MT 59715-6912 | 2009-01-07 |
1730381617 | Bozeman Gastroenterology, PC | Internal Medicine | 931 Highland Blvd Ste 3350, Bozeman, MT 59715-6914 | 2007-06-04 |
1033203831 | Steven Lyle Rowley Shaneyfelt | Internal Medicine | 931 Highland Blvd, #3350, Bozeman, MT 59715 | 2006-10-03 |
1821182627 | Brian Kenneth Landsverk | Internal Medicine | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2006-10-03 |
1255372736 | Peter Walsh | Internal Medicine | 931 Highland Blvd Ste 3350, Bozeman, MT 59715-6914 | 2006-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699099903 | Steven J. Ayres M D Pllc | Internal Medicine | 2800 11th Ave S Ste 28, Great Falls, MT 59405-5263 | 2010-03-16 |
1376636043 | Juergen J Mueller | Internal Medicine | 75 Claremont St Ste F, Kalispell, MT 59901-3500 | 2006-10-02 |
1316053895 | Eric E Trevelline Md Inc. | Internal Medicine | 2831 Ft Missoula Rd, Ste 303, Missoula, MT 59804-7401 | 2006-08-21 |
1821048729 | Kimberly John Curtis | Internal Medicine | 601 W Spruce St, Suite K, Missoula, MT 59802-4057 | 2006-05-11 |
1760441224 | Edwin Levine | Internal Medicine | 2835 Fort Missoula Rd # 3, Missoula, MT 59804 | 2006-03-22 |
1487655346 | William Gibson Simpson | Internal Medicine | 320 Sunnyview Ln, Kalispell, MT 59901-3129 | 2005-08-02 |
1609490010 | Kalispell Regional Medical Center, Inc | Internal Medicine | 320 Sunnyview Ln, Kalispell, MT 59901-3129 | 2020-06-01 |
1518412303 | Healthcenter Northwest, L.L.C. | Internal Medicine | 320 Sunnyview Ln, Kalispell, MT 59901 | 2016-08-22 |
1942444146 | John T Molloy Md Pllc | Internal Medicine | 1300 28th St S, Suite 3, Great Falls, MT 59405-5296 | 2009-05-01 |
1023281441 | William J. Cobell | Internal Medicine | 320 Sunnyview Ln, Kalispell, MT 59901-3129 | 2008-04-07 |
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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.