DR. DAVID K JOHNSON (NPI# 1982799011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982799011 |
| Entity Type | Individual |
| Full Name | DR. DAVID K JOHNSON |
| Credential | M.D. |
| Practice Address |
1625 Ramblewood Dr East Lansing MI 48823-6367 |
| Mailing Address |
2175 Coolidge Rd East Lansing MI 48823-1379 |
| Practice Telephone | 5173243705 |
| Practice Fax Number | 5173244589 |
| Mailing Telephone | 5173243705 |
| Mailing Fax Number | 5173244589 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
DJ036689 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHYSICIAN HEALTH PLAN | 200000002171 | 01 | |
| RAILROAD MEDICARE | 340009577 | 01 | |
| AETNA | 4496865 | 01 | |
| MCARE | DR330319 | 01 | |
| MCLAREN | 1000638 | 01 | |
| MI | 101312174 | 05 | |
| BLUE CROSS BLUE SHIELD | 340C376010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804044 | David Johnson | Home Health Aide | 4436 Davis Grove Blvd, Olive Branch, MS 38654-5631 | 2020-09-04 |
| 1952803314 | David M Johnson | Specialist | 1345 Nw 15th St, Lincoln City, OR 97367-3327 | 2018-03-01 |
| 1932615333 | David Johnson | Hearing Instrument Specialist | 905 N Cass St, Wabash, IN 46992-1043 | 2017-12-20 |
| 1316457211 | David Johnson | Specialist/Technologist | 14354 Mission Way, Broomfield, CO 80023-4049 | 2017-10-05 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1366812141 | David Clayton Johnson | Occupational Therapist | 201 Ridgecrest Dr, Chapel Hill, NC 27514-2104 | 2015-10-06 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
| 1710377585 | David Jackson Johnson | Counselor | 862 S Main St Ste 2, Brigham City, UT 84302-3300 | 2015-01-30 |
| 1376892828 | David Berek Johnson | Chiropractor | 7559 Kayne Blvd, Columbus, GA 31909-2521 | 2012-08-30 |
| Street Address |
1625 RAMBLEWOOD DR |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-6367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184669442 | Mitchell A Rinek | Dermatology | 1625 Ramblewood Dr, Ste 2, East Lansing, MI 48823 | 2006-06-19 |
| 1235565151 | Lansing Institute of Urolgoy | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2013-09-24 |
| 1508127952 | Sara M Wilchowski | Physician Assistant | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2012-06-01 |
| 1982973855 | Mitchell A Rinek Md PC | Dermatology | 1625 Ramblewood Dr, Ste 2, East Lansing, MI 48823-6367 | 2011-12-22 |
| 1750476859 | Joseph W Mashni | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-10-04 |
| 1376638429 | Lansing Institute of Urology, P.C. | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-10-04 |
| 1417042698 | Rafid H Yousif | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-10-04 |
| 1174618300 | Leonard J Zuckerman | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-10-04 |
| 1487672770 | Michael David Garrett | Physician Assistant | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750476859 | Joseph W Mashni | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-10-04 |
| 1376638429 | Lansing Institute of Urology, P.C. | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-10-04 |
| 1417042698 | Rafid H Yousif | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-10-04 |
| 1174618300 | Leonard J Zuckerman | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770793325 | Henry Ford Health System | Urology | Vattikuti Urology Institute, K-9, Henry Ford Hospital, 2799 W. Bethune Avenue, Detroit, MI 48202 | 2007-05-23 |
| 1861457285 | Claude Reitelman | Urology | 263 Puritan Ave, Birmingham, MI 48009-4631 | 2006-04-19 |
| 1720073497 | Kirstan Kathleen Meldrum | Urology | 3875 Bay Rd Ste 25, Saginaw, MI 48603-2417 | 2005-09-19 |
| 1922233683 | Janae Preece | Urology | 3901 Beaubien St, Children's Hospital of Mi- Pediatric Urology, Detroit, MI 48201-2119 | 2009-05-26 |
| 1326208745 | Michigan Institute of Urology, PC | Urology | 1701 South Blvd E, Suite 340, Rochester Hills, MI 48307-6122 | 2008-06-10 |
| 1356519920 | Pediatric Urology of Mi | Urology | 2221 Livernois Rd Ste 103, Troy, MI 48083-1603 | 2008-02-15 |
| 1508900267 | Kristina D. Suson | Urology | 3901 Beaubien St, Pediatric Urology, Detroit, MI 48201-2119 | 2007-02-16 |
| City | EAST LANSING |
| Zip Code | 48823 |
Please comment or provide details below to improve the information on DR. DAVID K JOHNSON.
| 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.