BRIAN CHRISTOPHER JOHNSON (NPI# 1093727653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093727653 |
Entity Type | Individual |
Full Name | BRIAN CHRISTOPHER JOHNSON |
Credential | PA-C |
Practice Address |
109 Montgomery Dr Anderson SC 29621-3333 |
Practice Telephone | 8642245700 |
Practice Fax Number | 8642260680 |
Mailing Telephone | 8642245700 |
Mailing Fax Number | 8642260680 |
Enumeration Date | 2006-08-12 |
Last Update Date | 2016-04-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
961 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 2251PA | 05 | |
SC | STATE LICENSE NUMBER | 961 | 01 |
SC | RR MEDICARE | P0161435 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
1669002630 | Brian A Johnson | Counselor | 16978 W Santiago Cir, Hauser, ID 83854-8153 | 2020-01-18 |
1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
1467979013 | Brian R Johnson Jr. | Massage Therapist | 275 Sw 160th St Ste 201, Burien, WA 98166-3003 | 2017-08-24 |
1851817316 | Brian Johnson | Driver | 2919 Providence Creek Rd, North Chesterfield, VA 23236-5267 | 2017-08-16 |
1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
1356870158 | Brian Johnson | Private Vehicle | 52 Saint Pauls Rd, Warsaw, VA 22572-4436 | 2017-06-06 |
1538601554 | Brian David Johnson | Occupational Therapist | 7370 Cabot Ct Ste 101, Melbourne, FL 32940-8263 | 2016-11-08 |
1548630122 | Brian Johnson | Technician, Cardiology | 1163 Bridge Mill Ave, Canton, GA 30114-7713 | 2015-09-25 |
1093111817 | Brian Johnson | Home Health | 9446 Crockett Pass, Hamilton, OH 45011-9054 | 2014-11-05 |
Street Address |
109 MONTGOMERY DR |
City | ANDERSON |
State | SC |
Zip Code | 29621-3333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154381465 | Larry Steve Davidson | Neurological Surgery | 109 Montgomery Dr, Anderson, SC 29621-3333 | 2006-03-23 |
1821488297 | Anmed Health | Neurological Surgery | 109 Montgomery Dr, Anderson, SC 29621-3333 | 2015-01-23 |
1356449359 | Piedmont Spine and Neurosurgical Group, P.a. | Neurological Surgery | 109 Montgomery Dr, Anderson, SC 29621-3333 | 2006-09-21 |
1649282245 | Aaron C Macdonald | Neurological Surgery | 109 Montgomery Dr, Anderson, SC 29621-3333 | 2006-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
Find all providers in zip 29621 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437400363 | William Travis Jeffcoat | Physician Assistant | 109 Health Way, Anderson, SC 29621-3333 | 2012-10-02 |
1972958338 | Shelley Marie Floyd | Physician Assistant | 800 N Fant St, Anderson, SC 29621-5708 | 2016-05-04 |
1609275619 | David E Tann | Physician Assistant | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2014-08-14 |
1386651933 | Joseph Greg Williamson | Physician Assistant | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2006-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
1588183909 | John Edward Carpenter | Physician Assistant | 50 E Hospital St Ste 6, Manning, SC 29102-3149 | 2017-09-18 |
1689116006 | Healing Hands Surgical Assisting | Physician Assistant | 456 Bates Crossing Rd, Travelers Rest, SC 29690-9277 | 2016-11-16 |
1003207101 | Kimberly Anne Caldwell | Physician Assistant | 306 Roosevelt Ave, Travelers Rest, SC 29690-1750 | 2015-02-10 |
1144653742 | Carrie Marie Thompson | Physician Assistant | 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 | 2013-08-19 |
1609184316 | Kym L Kittle | Physician Assistant | 161 Ashley Ave, Charleston, SC 29425-8905 | 2010-09-15 |
1093960957 | Stephen Utenick | Physician Assistant | 105 Beason Farm Ln, Simpsonville, SC 29681-6509 | 2008-11-19 |
1689849457 | First Surgical Associates, LLC | Physician Assistant | 1004 Wells St, Bennettsville, SC 29512-2718 | 2008-04-23 |
1922270594 | Kati George Carter | Physician Assistant | 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 | 2008-03-24 |
1760584981 | Coleman S Fravel | Physician Assistant | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 | 2006-09-01 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on BRIAN CHRISTOPHER JOHNSON.
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.