DR. JUSTIN DALE JOHNSON (NPI# 1013179001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013179001 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN DALE JOHNSON |
| Credential | M.D. |
| Practice Address |
1401 Harrodsburg Rd Suite C-215 Lexington KY 40504-3751 |
| Practice Telephone | 8592586450 |
| Practice Fax Number | 8592586499 |
| Mailing Telephone | 8592586450 |
| Mailing Fax Number | 8592586499 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2014-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 5815 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | TEP | 5815 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285278069 | Justin Johnson | Home Health Aide | 5636 Statler Ave, Saint Louis, MO 63136-1127 | 2019-11-04 |
| 1750865382 | Justin Morgan Johnson | Behavioral Analyst | North Bldg. A, 230 N 1680 E, St George, UT 84790 | 2018-09-19 |
| 1134467731 | Justin Wesley Johnson | Dentist | 11201 Huguenot Road, Richmond, VA 23235 | 2013-01-17 |
| 1871898163 | Justin Johnson | Chiropractor | 2406 S State Rd, Ionia, MI 48846-2140 | 2011-01-18 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1255944641 | Justin Baily Johnson | Speech-Language Pathologist | 400 Shall St, Little Rock, AR 72202-2730 | 2020-08-26 |
| 1891314746 | Justin Indigo Johnson | Physical Therapist | 1300 Egg Harbor Rd, Sturgeon Bay, WI 54235-1277 | 2020-04-10 |
| 1447884242 | Justin Johnson | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-03-02 |
| 1487285557 | Justin M Johnson | Behavior Technician | 7100 Stevenson Blvd, Fremont, CA 94538-2485 | 2020-01-28 |
| 1518436377 | Justin Johnson | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2018-11-21 |
| Street Address |
1401 HARRODSBURG RD SUITE C-215 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021803 | Patrick K Leung | Psychiatry & Neurology | 1401 Harrodsburg Rd, Ste C225, Lexington, KY 40504-3751 | 2005-05-24 |
| 1174050801 | Jessica N Carty | Nurse Practitioner | 1401 Harrodsburg Rd, C335, Lexington, KY 40504-3751 | 2017-05-12 |
| 1861943029 | Amy Claunch | Nurse Practitioner | 1401 Harrodsburg Rd, C335, Lexington, KY 40504-3751 | 2016-10-21 |
| 1942657598 | Healthpoint Family Care, Inc. | Clinic/Center | 1401 Harrodsburg Rd, Suite 5-a, Lexington, KY 40504-3751 | 2016-05-24 |
| 1114386737 | Jenna Auxier | Counselor | 1401 Harrodsburg Rd, Lexington, KY 40504-3751 | 2016-02-11 |
| 1699147785 | Saint Joseph Health System Inc. | General Acute Care Hospital | 1401 Harrodsburg Rd, Suite A-480, Lexington, KY 40504-3751 | 2015-10-28 |
| 1255703336 | Angela S Shepherd | Physician Assistant | 1401 Harrodsburg Rd, Suite C-100, Lexington, KY 40504-3751 | 2015-10-28 |
| 1831572569 | Bryan Richard Tompkins | Physician Assistant | 1401 Harrodsburg Rd, Suite A-540, Lexington, KY 40504-3751 | 2015-06-30 |
| 1275925547 | Adam J Wilson | Nurse Practitioner | 1401 Harrodsburg Rd, A300, Lexington, KY 40504-3751 | 2015-02-24 |
| 1225427388 | Russell P Crawford | Nurse Practitioner | 1401 Harrodsburg Rd, Suite A-300, Lexington, KY 40504-3751 | 2015-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124559190 | Nadia Gabriela Romero | Urology | 800 Rose St Rm Mn-283, Lexington, KY 40536 | 2017-03-22 |
| 1922397033 | Alison Marie Rasper | Urology | Uk Urology 740 S Limestone Ste B200, Lexington, KY 40536-1522 | 2011-03-30 |
| 1699084731 | Lexington Unique Care Inc | Urology | 2628 Wilhite Dr, Lexington, KY 40503 | 2010-10-06 |
| 1659691053 | Ali Mahmoud Ziada | Urology | Urology Univ of Ky Med Ctr 800 Rose St, Room Ms 237, Lexington, KY 40536-0298 | 2010-06-08 |
| 1679744817 | Katie Ballert | Urology | 800 Rose St # Ms 269, Lexington, KY 40536-0298 | 2008-03-16 |
| 1932328259 | Alexandre W. Caillat | Urology | 106 W Medical Park Dr Ste A, Lexington, NC 27292-6854 | 2007-04-25 |
| 1730284597 | Carolyn V Smith | Urology | 2285 Executive Drive, Suite 100, Lexington, KY 40505 | 2006-09-14 |
| 1619930468 | Deborah R Erickson | Urology | 800 Rose Street, Room M S 283, Urology Division, University of Kentucky Hospital, Lexington, KY 40536-0001 | 2006-04-11 |
| 1073592796 | Claiborne Gooch Whitworth Iv | Urology | 100 Spotswood Dr, Lexington, VA 24450-2454 | 2006-01-11 |
| 1396728358 | John P Tuttle Jr. | Urology | 160 N Eagle Creek, Ste 301, Lexington, KY 40509 | 2005-11-23 |
| Find all providers in LEXINGTON | ||||
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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.