KORYN AMANDA JOHNSTON (NPI# 1003107442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003107442 |
Entity Type | Individual |
Full Name | KORYN AMANDA JOHNSTON |
Credential | D.O. |
Practice Address |
110 Plaza Ln Wellsboro PA 16901-1773 |
Mailing Address |
1 Guthrie Sq Sayre PA 18840-1625 |
Practice Telephone | 5707244241 |
Practice Fax Number | 5707245510 |
Mailing Telephone | 5708885858 |
Enumeration Date | 2011-04-19 |
Last Update Date | 2015-02-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | OS017260 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03987359 | 05 |
Street Address |
110 PLAZA LN |
City | WELLSBORO |
State | PA |
Zip Code | 16901-1773 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417920398 | David A. Pfisterer | Family Medicine | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2006-02-10 |
1407409857 | Laura Elizabeth Lawson | Physician Assistant | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2019-07-24 |
1881151520 | Benjamin Meier | Physician Assistant | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2019-03-01 |
1356825962 | Skylar Marie Andrews | Physician Assistant | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2018-09-19 |
1952737983 | Guthrie Health | Durable Medical Equipment & Medical Supplies | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2013-09-23 |
1861731952 | Guthrie Clinic, Ltd. | Radiology | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2013-02-08 |
1730479056 | David Jon Krohn | Physician Assistant | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2011-04-08 |
1659500452 | Maninder Singh | Internal Medicine | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2009-07-14 |
1982897070 | Guthrie Medical Group, P.C. | Durable Medical Equipment & Medical Supplies | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2007-08-22 |
1952350167 | Guthrie Medical Group, P.C. | Clinical Medical Laboratory | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2006-05-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053964940 | Alyssa Lapp | Occupational Therapist | 32 Central Avenue, Wellsboro, PA 16901 | 2019-07-19 |
1437701190 | Kari Donnele Root | Occupational Therapist | 36 Central Avenue, Wellsboro, PA 16901 | 2019-07-12 |
1205377835 | Brett Long | Physical Therapy Assistant | 37 Central Avenue, Wellsboro, PA 16901 | 2017-03-15 |
1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
1144650607 | Amy Chalot | Occupational Therapy Assistant | 1883 Shumway Hill Road, Broad Acres Health and Rehabilitation Center, Wellsboro, PA 16901 | 2013-11-20 |
1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
1639369606 | Well Adjusted Chiropractic Center PC | Chiropractor | 82 East Avenue, Wellsboro, PA 16901 | 2007-07-26 |
1538362991 | John W Eaton | Dentist | 23 Water Street, Wellsboro, PA 16901 | 2007-06-06 |
1437210242 | James Michael Stewart | Technician/Technologist | 16 Pearl St, Wellsboro, PA 16901 | 2006-12-13 |
1508879560 | Edward Jeffrey Candela | Dentist | 16 Water St, Wellsboro, PA 16901 | 2006-08-14 |
Find all providers in zip 16901 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194006114 | William A Coolidge | Family Medicine | 6770 Route 287, Wellsboro, PA 16901-6708 | 2011-09-03 |
1821266537 | Ivan T. Brechbill | Family Medicine | 320 S Callahan Rd, Wellsboro, PA 16901-7821 | 2008-02-15 |
1417920398 | David A. Pfisterer | Family Medicine | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2006-02-10 |
1194797100 | Lee C. Meyers | Family Medicine | 7 Water St, Wellsboro, PA 16901-1126 | 2006-02-03 |
1346253796 | Paul Latzko | Family Medicine | 103 West Ave, Wellsboro, PA 16901-1358 | 2006-08-15 |
1679586796 | Victor Paul Becker | Family Medicine | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 | 2006-08-14 |
1801809975 | Edmund P Guelig | Family Medicine | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 | 2006-08-13 |
1710990874 | Donald John Sweeney | Family Medicine | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 | 2006-08-13 |
1699742387 | Lisa Lynnelle Harpst | Family Medicine | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2006-03-02 |
1164497004 | John Patrick Doty | Family Medicine | 7 Water St, Wellsboro, PA 16901-1126 | 2006-02-22 |
Find all providers in WELLSBORO |
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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.