CHRISTIAN HENRIK JOHANSSON (NPI# 1992112163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992112163 |
Entity Type | Individual |
Full Name | CHRISTIAN HENRIK JOHANSSON |
Credential | PA-C |
Practice Address |
901 Enterprise Pkwy Ste 900 Hampton VA 23666 |
Mailing Address |
4241 Birdella Dr Williamsburg VA 23188-7366 |
Practice Telephone | 7578272480 |
Practice Fax Number | 7578272566 |
Mailing Telephone | 5154513995 |
Enumeration Date | 2014-07-18 |
Last Update Date | 2018-07-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
901 ENTERPRISE PKWY STE 900 |
City | HAMPTON |
State | VA |
Zip Code | 23666 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376870394 | Gabrielle A Lanzetta | Physician Assistant | 901 Enterprise Pkwy Ste 900, Hampton, VA 23666 | 2009-11-12 |
1912510363 | Benjamin D Gensler | Physician Assistant | 901 Enterprise Pkwy Ste 900, Hampton, VA 23666-6250 | 2020-08-26 |
1780292391 | Victoria L Tull | Physical Therapist | 901 Enterprise Pkwy Ste 900, Hampton, VA 23666-6250 | 2020-07-20 |
1194357863 | Eva Marie Mcewen | Physician Assistant | 901 Enterprise Pkwy Ste 900, Hampton, VA 23666-6250 | 2020-02-10 |
1447645486 | Kacey M Nadeau | Occupational Therapist | 901 Enterprise Pkwy Ste 900, Hampton, VA 23666-6250 | 2015-04-06 |
1235558958 | Miguel Angel Pelton | Internal Medicine | 901 Enterprise Pkwy Ste 900, Hampton, VA 23666-6250 | 2014-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
Find all providers in zip 23666 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215557335 | Katy Hughes Fedorko | Physician Assistant | 100 Emancipation Dr, Hampton, VA 23667-2906 | 2020-04-18 |
1629217021 | Amanda K Watkins | Physician Assistant | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6249 | 2009-02-10 |
1174588776 | Gayle Barbuto | Physician Assistant | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2006-04-18 |
1215991484 | Mark Andrew Cannon | Physician Assistant | 100 Emancipation Dr, Department of Surgery, Hampton, VA 23667-0001 | 2006-04-14 |
1053373621 | Alan David Abrams | Physician Assistant | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2006-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962038042 | Emma Alexandra Rouse | Physician Assistant | 2712 Hatmark St, Vienna, VA 22181-6054 | 2020-03-20 |
1861059461 | Daniel P Sherman | Physician Assistant | 43165 Thistledown Ter Apt 241, Broadlands, VA 20148-4075 | 2019-05-20 |
1184289753 | Vicenta Hanh-phuoc Tran | Physician Assistant | 7611 Trammell Rd, Annandale, VA 22003-1442 | 2019-05-08 |
1649833021 | Karlie Diruzza | Physician Assistant | 2900 Lamb Cir # L760, Christiansburg, VA 24073-6344 | 2019-04-21 |
1164983599 | Bradley Pretzer | Physician Assistant | 5115 Cliffhaven Dr, Annandale, VA 22003-4348 | 2019-03-28 |
1346757416 | Hinda Yasmin Mezaache | Physician Assistant | 1101 Sam Perry Blvd Ste 219, Fredericksburg, VA 22401-4465 | 2018-01-10 |
1265974851 | Gerard Surgical Services, LLC | Physician Assistant | 12220 Chattanooga Plz Ste 121, Midlothian, VA 23112-4865 | 2016-11-14 |
1417301607 | Jose Gustavo Espino | Physician Assistant | 6866 Deer Run Dr, Alexandria, VA 22306-1124 | 2016-04-14 |
1477915098 | Kelly Egan Weaver | Physician Assistant | 1201 Broad Rock Blvd Richmond Va 23224, Richmond, VA 23249-4915 | 2016-03-23 |
1871976522 | Hall Surgical Assistance, LLC | Physician Assistant | 10332 Main St, Suite #344, Fairfax, VA 22030-2410 | 2015-06-30 |
Find all providers with the same taxonomy |
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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.