DR. CRAIG M JOHNSON (NPI# 1992910301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992910301 |
| Entity Type | Individual |
| Full Name | DR. CRAIG M JOHNSON |
| Credential | DO |
| Practice Address |
6535 Nemours Parkway Nch Orlando FL 33282-7884 |
| Mailing Address |
P.o. Box 191 Provider Enrollment Department Rockland DE 19732-0191 |
| Practice Telephone | 4075674000 |
| Practice Fax Number | 4075675924 |
| Mailing Telephone | 3022987371 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
C20010119 | DE | Allopathic & Osteopathic Physicians |
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
OS11789 | FL | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
53505 | WI | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
235491 | MA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
OS11789 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006252800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154708 | Craig Matthew Johnson | Contractor | 8103 Upper 129th Ct, Apple Valley, MN 55124-6283 | 2020-08-10 |
| 1881953453 | Craig Johnson | Durable Medical Equipment & Medical Supplies | 5102 Canterbury Dr, Cypress, CA 90630-3648 | 2012-05-16 |
| 1811199755 | Craig Michael Johnson | Dentist | 916 Ellison Ave, Louisville, KY 40204-1902 | 2007-06-04 |
| 1184751349 | Craig Joel Johnson | Psychiatry & Neurology | 214 Elkhorn Rd, Williams Bay, WI 53191-9514 | 2007-02-27 |
| 1750423778 | Craig Arlin Johnson | Dentist | 17 Suffolk Ave, Sierra Madre, CA 91024-2526 | 2007-02-13 |
| 1851465074 | Craig Brian Johnson | Chiropractor | 1880 Lancaster Dr Ne Ste 127, Salem, OR 97305-1069 | 2006-11-20 |
| 1629164603 | Craig T Johnson | Dentist | 1617 W Bogart Road, Sandusky, OH 44870 | 2006-10-05 |
| 1588764856 | Craig Brian Johnson | Dentist | 25579 Church St, Nisswa, MN 56468 | 2006-09-25 |
| 1629084629 | Craig M. Johnson | Chiropractor | 1107 E Chapman Ave Ste 100, Orange, CA 92866-2129 | 2006-07-31 |
| 1225093875 | Craig W Johnson | Internal Medicine | 134 N Breiel Blvd, Middletown, OH 45042 | 2006-04-18 |
| Street Address |
6535 NEMOURS PARKWAY NCH |
| City | ORLANDO |
| State | FL |
| Zip Code | 33282-7884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124141791 | Jamie L Ikeda | Ophthalmology | 6535 Nemours Parkway, Nemours Childrens Hospital, Orlando, FL 32827-7884 | 2007-04-09 |
| 1558612135 | Lawall P & O of Florida, Inc. | Prosthetic/Orthotic Supplier | 6535 Nemours Parkway, 5th Floor, Orlando, FL 32827-7402 | 2012-09-24 |
| 1457552127 | Laura L Hayes | Radiology | 6535 Nemours Parkway, Nch, Orlando, FL 32827-7884 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1023619772 | Nichole Goff | Social Worker | 12151 Waterstone Ct Apt 826, Orlando, FL 32825-7035 | 2020-11-07 |
| 1164023925 | Eddy David | Case Manager/Care Coordinator | 1118 Grayson Dr, Orlando, FL 32825-6724 | 2020-11-06 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1164023073 | Georgia Vernon | Social Worker | 10600 Bloomfield Dr Apt 827, Orlando, FL 32825-5907 | 2020-11-06 |
| 1710588769 | Elsy LLC | Emergency Medicine | 600 Golden Sunshine Cir, Orlando, FL 32807-3456 | 2020-11-05 |
| 1194326371 | Vanessa Angel | Physical Therapist | 12734 Avalon Lake Dr, Orlando, FL 32828-7314 | 2020-11-04 |
| 1639770860 | Kailye L Marsh | Behavior Technician | 768 E Michigan St Unit 75, Orlando, FL 32806-4682 | 2020-11-04 |
| Find all providers in ORLANDO | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740268077 | Daniel Jay Podberesky | Radiology | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2006-01-06 |
| 1306126222 | Tushar Chandra | Radiology | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2011-08-23 |
| 1861782195 | Aaron Lindsay | Radiology | 601 E Rollins St, Orlando, FL 32803 | 2011-04-07 |
| 1801047683 | Michael Scott Gurian | Radiology | 20 W Kaley St, Orlando, FL 32806-2931 | 2008-10-10 |
| 1538352059 | Thang D Ngo | Radiology | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2007-08-20 |
| 1457552127 | Laura L Hayes | Radiology | 6535 Nemours Parkway, Nch, Orlando, FL 32827-7884 | 2007-05-30 |
| 1699980045 | David Dinan | Radiology | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2007-05-11 |
| 1013904192 | Joseph N Foss | Radiology | 20 W Kaley St, Orlando, FL 32806-2931 | 2005-10-04 |
| 1235126970 | Mary K Garrett | Radiology | 20 W Kaley St, Orlando, FL 32806-2931 | 2005-09-27 |
| 1063409704 | Allan S Clayman | Radiology | 20 W Kaley St, Orlando, FL 32806-2931 | 2005-09-27 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on DR. CRAIG M 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.