MR. DOUGLAS W JOHNSON (NPI# 1003816471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003816471 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS W JOHNSON |
| Credential | PA-C |
| Practice Address |
1 Elizabeth Pl 4th Floor Dayton OH 45408-1445 |
| Mailing Address |
3995 Willow Run Dr Beavercreek OH 45430-1552 |
| Practice Telephone | 9372217001 |
| Practice Fax Number | 9372245307 |
| Mailing Telephone | 9374297132 |
| Mailing Fax Number | 9372245307 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50-00-0344 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513825 | Douglas Johnson | Hearing Instrument Specialist | 321 Sanford Dr, Morganton, NC 28655-2555 | 2020-03-20 |
| 1447571260 | Douglas Earl Johnson Sr. | Counselor | 334 Old Thomas Rd, Watha, NC 28478-9538 | 2010-06-16 |
| 1558528505 | Douglas D. Johnson | Dentist | 1310 Tara Hills Dr Ste G, Pinole, CA 94564-2533 | 2008-05-19 |
| 1790994580 | Douglas William Johnson | Dentist | 980 E Foothill Blvd Ste 104, Upland, CA 91786-4068 | 2007-05-21 |
| 1356556880 | Douglas M Johnson | Dentist | 2380 14th Ave Se, Albany, OR 97322-6800 | 2007-05-10 |
| 1205950052 | Douglas Scott Johnson | Chiropractor | 3365 N. Academy Blvd., Colorado Springs, CO 80917 | 2007-03-19 |
| 1225163843 | Douglas Harold Johnson | Dentist | 275 Pendleton Way, Washougal, WA 98671-4203 | 2007-02-22 |
| 1033255328 | Douglas Arthur Johnson | Speech-Language Pathologist | 500 North Navajo, Box 1927, Page, AZ 86040 | 2007-01-30 |
| 1265516538 | Douglas S Johnson | Dentist | 219 Thomas St, Suite B, Thomaston, GA 30286-5452 | 2006-10-24 |
| 1417055971 | Douglas R Johnson | Counselor | 1750 Pine Ave, Niagara Falls, NY 14301-2232 | 2006-09-20 |
| Street Address |
1 ELIZABETH PL 4TH FLOOR |
| City | DAYTON |
| State | OH |
| Zip Code | 45408-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228115 | Paulette L Cundy-melzer | Nurse Anesthetist, Certified Registered | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2005-07-13 |
| 1619577210 | Leah Kathryn Obermeyer | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-11-01 |
| 1144837196 | Emily Anne Denterlein | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-09-24 |
| 1235742313 | Angela K Haughn | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-28 |
| 1225641475 | Cheyenne M Mcreynolds | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-27 |
| 1043823289 | Marisa C Beckner | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-27 |
| 1265045405 | Angela V Huff | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-27 |
| 1033721949 | Shantell S Oglesby | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-21 |
| 1518579390 | Phyllis J Stewart | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-21 |
| 1134731052 | Arthur C Franklin | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
| 1730363813 | Susan C Mumford | Social Worker | 627 S. Edwin C. Moses Blvd, Suite 100, Dayton, OH 45408 | 2007-12-24 |
| 1649237553 | Jerry Eugene Flexman | Clinical Neuropsychologist | 1 Elizabeth Place, West Pavilion 1st Floor Suite C, Dayton, OH 45408 | 2006-04-26 |
| 1598722571 | William Klykylo | Psychiatry & Neurology | 627 Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45408 | 2006-04-26 |
| 1265491930 | Healing Touch Home Healthcare | Registered Nurse | 601 S.edwin C. Moses, East Plaza, Suite 3-i, Dayton, OH 45408 | 2006-03-21 |
| 1023082401 | Philip Copelain Williams Jr. | Surgery | One Elizabeth Place, Suite 10a, Dayton, OH 45408 | 2006-02-14 |
| 1912987256 | Heart Hospital of Dto, LLC | General Acute Care Hospital | 707 S. Edwin C. Moses Blvd, Dayton, OH 45408 | 2006-01-20 |
| 1821076365 | Pesso Investments, Ltd | Emergency Medicine | 707 S. Edwin C. Moses Blvd., Dayton, OH 45408 | 2006-01-05 |
| 1184605727 | Benjamin David Shaffer | Pharmacist | 707 South Edwin C. Moses Blvd., Dayton, OH 45408 | 2005-11-10 |
| 1396974358 | The Karrington Company LLC | Durable Medical Equipment & Medical Supplies | One Elizabeth Place, Dayton, OH 45408 | 2009-07-10 |
| Find all providers in zip 45408 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841744331 | Jessica Leigh Cochran | Physician Assistant | 188 16th Ave Ste 107, Dayton, TN 37321-1037 | 2016-08-12 |
| 1619073830 | Terri Long | Physician Assistant | 8934 Kingsridge Dr Ste 102, Dayton, OH 45458-1633 | 2006-09-15 |
| 1790126282 | Christopher Lynn Atkins | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2013-07-11 |
| 1669754065 | Alliance Physician Inc | Physician Assistant | 405 W Grand Ave, Or Dept, Dayton, OH 45405-4720 | 2011-09-13 |
| 1619258068 | Mackenzie E. T. Graham | Physician Assistant | One Wyoming Street, Dayton, OH 45409 | 2011-08-30 |
| 1992092886 | Devi S Kadakia | Physician Assistant | 30 E Apple St Ste 5253, Dayton, OH 45409 | 2011-06-29 |
| 1932416161 | Heather Nicole Short | Physician Assistant | 9000 N Main St, Suite 333, Dayton, OH 45415-1180 | 2010-09-09 |
| 1265611818 | Amanda E Bryan | Physician Assistant | 1520 S Main St, Suite 3, Dayton, OH 45409-2698 | 2007-10-31 |
| 1356485700 | Cheryl Chasteen-seibert | Physician Assistant | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2007-02-19 |
| 1194865345 | Troy Miller | Physician Assistant | 30 E Apple St, Ste 1480, Dayton, OH 45409-2939 | 2007-02-07 |
| Find all providers in DAYTON | ||||
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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.