JESSICA DANIELLE JOHNSON (NPI# 1093071680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093071680 |
| Entity Type | Individual |
| Full Name | JESSICA DANIELLE JOHNSON |
| Credential | M.D. |
| Practice Address |
800 Biesterfield Rd Ste 510 Elk Grove Village IL 60007-3367 |
| Mailing Address |
2160 S 1st Ave Room 106 Maywood IL 60153-3328 |
| Practice Telephone | 8479813660 |
| Practice Fax Number | 8479565108 |
| Mailing Telephone | 7082165402 |
| Mailing Fax Number | 7082166839 |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036.137545 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 S 1st Ave, Room 106, Maywood, IL 601533328 | 7082165402 | 7082166839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978039 | Jessica N Johnson | Pediatrics | 4078 Country Club Rd, Brodnax, VA 23920-3404 | 2020-10-08 |
| 1134747165 | Jessica Johnson | Registered Nurse | 535 Los Alamos Rd, Santa Rosa, CA 95409-4425 | 2020-07-07 |
| 1710504311 | Jessica Lee Johnson | Registered Nurse | 7373 W 6th Ave, Lakewood, CO 80214-4518 | 2020-06-30 |
| 1427670827 | Jessica Johnson | Registered Nurse | 745 Shaker Mill Rd, Bowling Green, KY 42103-9064 | 2020-05-08 |
| 1124649926 | Jessica Delores Johnson | Nurse Practitioner | 360 Ossie Davis Pkwy, Waycross, GA 31501-4566 | 2020-05-03 |
| 1467084806 | Jessica Lyn Johnson | Specialist/Technologist | 23 E 157th Pl S, Glenpool, OK 74033-4437 | 2020-02-04 |
| 1215588819 | Jessica Johnson | Counselor | 1001 John D Odom Rd, Dothan, AL 36303-9485 | 2019-09-25 |
| 1356905145 | Jessica Johnson | Technician | 2506 14th St Ne Apt 2, Washington, DC 20018-1928 | 2019-04-26 |
| 1043776503 | Jessica Johnson | Nurse Practitioner | 3303 Duval St, Jupiter, FL 33458-8259 | 2019-02-20 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| Street Address |
800 BIESTERFIELD RD STE 510 |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477624526 | Jill Marie Hetzel | Physician Assistant | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2006-11-12 |
| 1093290421 | Patrycja Nowak | Registered Nurse | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2018-10-02 |
| 1114478955 | Jennifer Jacobs | Nurse Practitioner | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2016-10-17 |
| 1346634193 | Shayan Sartipi | Internal Medicine | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2015-03-18 |
| 1003229840 | Helen Zakos | Nurse Practitioner | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2014-06-10 |
| 1386901353 | Pratyaya Majumder | Internal Medicine | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2012-04-16 |
| 1114283041 | Amrik Sivakam Ray | Internal Medicine | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2012-04-04 |
| 1740556455 | Kamran Khan Sherwani | Internal Medicine | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2012-03-27 |
| 1033498472 | Anurag Mehrotra | Internal Medicine | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2011-08-16 |
| 1255567962 | Amit Bharara | Internal Medicine | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2009-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699187344 | Said Abuhasna | Internal Medicine | 800 Biesterfield Rd Ste 105, Elk Grove Village, IL 60007-3372 | 2014-05-29 |
| 1346634193 | Shayan Sartipi | Internal Medicine | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2015-03-18 |
| 1225392368 | Peter John Psihos | Internal Medicine | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2012-07-03 |
| 1114283041 | Amrik Sivakam Ray | Internal Medicine | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2012-04-04 |
| 1033498472 | Anurag Mehrotra | Internal Medicine | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2011-08-16 |
| 1013164086 | Michael James Keller | Internal Medicine | 800 Biesterfield Rd, Suite 510, Elk Grove Village, IL 60007-3361 | 2008-08-21 |
| 1487817649 | Thomas Murphy | Internal Medicine | 800 Biesterfield Rd, Suite 510, Elk Grove Village, IL 60007-3361 | 2008-07-08 |
| 1326236860 | Nawaid Mahmood Shakir | Internal Medicine | 800 Biesterfield Rd, Suite 510, Elk Grove Village, IL 60007-3361 | 2007-10-10 |
| 1922167162 | Juan R Herena | Internal Medicine | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2006-12-06 |
| 1194891796 | Imran Nisar Shaikh | Internal Medicine | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2006-11-27 |
| Find all providers in ELK GROVE VILLAGE | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
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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.