DR. GARY KEITH JOHNSON (NPI# 1083752802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083752802 |
| Entity Type | Individual |
| Full Name | DR. GARY KEITH JOHNSON |
| Credential | M.D., M.P.H. |
| Practice Address |
630 S Saginaw St Flint MI 48502-1525 |
| Practice Telephone | 8102573155 |
| Practice Fax Number | 8102573147 |
| Mailing Telephone | 8102573155 |
| Mailing Fax Number | 8102573147 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301049794 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3149584 | 05 | |
| MI | 2837685 | 05 | |
| MI | 3149593 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1689146078 | Gary L Johnson | Marriage & Family Therapist | 1200 Cedar Ln, Tullahoma, TN 37388-2255 | 2018-12-22 |
| 1083085369 | Gary Johnson | Assisted Living Facility | 1539 W Avenue L12, Lancaster, CA 93534-6930 | 2015-10-13 |
| 1184063323 | Gary D Johnson | Pharmacist | 1897 E Fall View Dr, Sandy, UT 84093-7058 | 2013-06-20 |
| 1568709798 | Gary Lewis Johnson | Rehabilitation Practitioner | 9322 Dorrell Ln, 9322 Dorrell Lane, Las Vegas, NV 89149-0172 | 2013-01-08 |
| 1184997074 | Gary Wayne Johnson | Physical Therapist | 987 Nohunta Ct, Cincinnati, OH 45231-2518 | 2012-02-23 |
| 1518259811 | Gary A Johnson | Counselor | 4410 Arapahoe Ave Ste 205, Boulder, CO 80303-1155 | 2011-05-05 |
| 1285931923 | Gary David Johnson | Chiropractor | 413 W Morgan St, Duluth, MN 55811-4432 | 2011-02-15 |
| 1306156930 | Gary Anthony Johnson II | Private Vehicle | 1430 Dighton Ct, Virginia Beach, VA 23464-8624 | 2010-10-17 |
| 1417118217 | Gary Michael Johnson II | Audiologist | 7025 E Mcdowell Rd, Suite 1c, Scottsdale, AZ 85257-3328 | 2008-06-24 |
| Street Address |
630 S SAGINAW ST |
| City | FLINT |
| State | MI |
| Zip Code | 48502-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154370344 | County of Genesee | Public Health or Welfare | 630 S Saginaw St, Flint, MI 48502-1525 | 2006-05-08 |
| 1841646478 | Elizabeth Marie Phillips | Social Worker | 630 S Saginaw St, Flint, MI 48502-1525 | 2016-05-12 |
| 1962858654 | Shelby Patricia Yeary | Social Worker | 630 S Saginaw St, Suite 4, Flint, MI 48502-1525 | 2016-05-11 |
| 1588963599 | Genesee County Health Department | Clinic/Center | 630 S Saginaw St, Attn: Accounting Department Suite 4, Flint, MI 48502-1525 | 2011-03-17 |
| 1871801381 | Barbara Hollie | Registered Nurse | 630 S Saginaw St, Flint, MI 48502-1525 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003453267 | Patricia Ann Love | Peer Specialist | Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 | 2019-12-06 |
| 1104474329 | First Trinity Missionary Baptist Church | Public Health or Welfare | 1226 Beach St, Flint, MI 48502 | 2019-08-30 |
| 1851861447 | Mia Riggs | Peer Specialist | 932 Beach St., Flint, MI 48502 | 2018-11-27 |
| 1366948937 | Stephanie Laverne Mcgowan | Counselor | 129 E. Third Street, Flint, MI 48502 | 2018-04-03 |
| 1801304498 | Faith Ellen Gardner | Student in an Organized Health Care Education/Training Program | 529 Mlk, Flint, MI 48502 | 2018-01-17 |
| 1154857423 | Carolyn Denise Scott | Counselor | 529 M.l. King, Jr. Ave., Flint, MI 48502 | 2017-05-05 |
| 1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
| 1518319367 | Leann Littlejohn | Counselor | 529 Ml King Ave., Flint, MI 48502 | 2016-07-05 |
| 1093185712 | Jayme Gene Wagner | Counselor | 529 M. L. King, Jr. Ave, Flint, MI 48502 | 2015-10-07 |
| 1508260753 | Brittany Hopkins | Counselor | 529 Marting Luther King Jr Ave, Flint, MI 48502 | 2014-10-17 |
| Find all providers in zip 48502 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265807333 | Bright Future Pediatrics P L L C | Pediatrics | 1125 S Linden Rd Ste 500, Flint, MI 48532-4069 | 2015-12-01 |
| 1063665990 | Ann Marie Rose Baker | Pediatrics | 2193 W Maple Ave, Flint, MI 48507-3573 | 2008-10-23 |
| 1043491509 | Alicia J. Franco-imperial | Pediatrics | 2241 S Linden Rd, Suite B, Flint, MI 48532-5458 | 2007-11-26 |
| 1336346345 | Faisal M Mawri | Pediatrics | 1230 S Linden Rd Ste 3a, Flint, MI 48532-3459 | 2007-07-02 |
| 1821130980 | Genesee Pediatrics | Pediatrics | 5067 W Bristol Rd, Suite J, Flint, MI 48507-2924 | 2007-02-13 |
| 1669567806 | Physician Coverage Services PC | Pediatrics | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2006-10-04 |
| 1295834869 | Benjamin Salazar Ramirez | Pediatrics | 1425 S Graham Rd, Flint, MI 48532-3538 | 2006-09-21 |
| 1508975848 | Timur Sumer | Pediatrics | G3285 Beecher Rd, Flint, MI 48532-3615 | 2006-08-30 |
| 1255348595 | Harvey Allen Olds | Pediatrics | 2710 W Court St Ste 10, Flint, MI 48503-3061 | 2006-08-01 |
| 1023049715 | Michael Raymond Green | Pediatrics | 18104 County Road 134, Flint, TX 75762 | 2006-07-05 |
| Find all providers in FLINT | ||||
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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.