NATHANIEL REAGOR JOHNSON (NPI# 1083886212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083886212 |
| Entity Type | Individual |
| Full Name | NATHANIEL REAGOR JOHNSON |
| Credential | M.D. |
| Practice Address |
2746 N Warren Ave Tucson AZ 85719-3142 |
| Practice Telephone | 5052649790 |
| Practice Fax Number | 5206262480 |
| Mailing Telephone | 5052649790 |
| Mailing Fax Number | 5206262480 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
80809 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493798 | Nathaniel Johnson | Counselor | 612 Beretta Dr, Grovetown, GA 30813-2198 | 2020-09-24 |
| 1174058580 | Nathaniel B Johnson | Pharmacist | 24 Lithgow St, Winslow, ME 04901-7149 | 2017-04-23 |
| 1801014352 | Nathaniel C Johnson | Occupational Therapist | 37 Oriole Dr, Hackettstown, NJ 07840-3116 | 2007-04-22 |
| 1346868254 | Nathaniel Johnson | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-07-07 |
| 1013543271 | Nathaniel Johnson | Social Worker | 515 Dayton St, Hamilton, OH 45011-3455 | 2020-03-19 |
| 1649777251 | Nathaniel M Johnson | Case Manager/Care Coordinator | 2803 Akron Rd, Wooster, OH 44691 | 2018-04-10 |
| 1528572088 | Nathaniel Thomas Johnson | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2017-11-20 |
| 1578925715 | Nathaniel Johnson | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Ms# 222wp2, Burlington, VT 05401-1473 | 2016-03-27 |
| 1306117833 | Nathaniel Johnson | Psychologist | 260 Waseca Ave, Barrington, RI 02806-3562 | 2012-01-13 |
| 1710275292 | Nathaniel Johnson | Case Manager/Care Coordinator | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2011-07-18 |
| Street Address |
2746 N WARREN AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083796098 | Ellen Marie San Buenaventura | Emergency Medicine | 5161 N Stonehouse Pl, Tucson, AZ 85750-9671 | 2006-10-19 |
| 1184157448 | Riley Anne Fisher | Emergency Medicine | Banner University Medical Center Tucson, 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2017-04-04 |
| 1376907923 | Victor Laurion | Emergency Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2016-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982851648 | Sheetal Shah | Emergency Medicine | 15608 N 71st St, Apt 215, Scottsdale, AZ 85254-5359 | 2008-08-25 |
| 1144719642 | Samantha Odell Meyerhoff | Emergency Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-05-09 |
| 1144624339 | District Medical Group, Inc | Emergency Medicine | 2601 E Roosevelt St, Emergency Medicine, Phoenix, AZ 85008-4973 | 2014-10-16 |
| 1396040713 | Zola Trotter | Emergency Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2011-01-14 |
| 1952530313 | Tina L Tobler | Emergency Medicine | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2009-07-07 |
| 1588865802 | Michael Jeffrey Jonas | Emergency Medicine | 7400 E Osborn Rd, Scottsdale, AZ 85251-6432 | 2007-05-31 |
| 1821148867 | Mark A Hostetler | Emergency Medicine | 1919 E Thomas Rd, East Building, Phoenix, AZ 85016-7710 | 2007-01-11 |
| 1649210758 | Frederick Mcdonald | Emergency Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-06-07 |
| 1720025661 | Madhumita Sinha | Emergency Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-05-31 |
| 1417904038 | Khajista Qazi | Emergency Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-05-28 |
| Find all providers with the same taxonomy | ||||
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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.