DR. HENDERSON ANDREW JOHNSON IV (NPI# 1104994052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104994052 |
| Entity Type | Individual |
| Full Name | DR. HENDERSON ANDREW JOHNSON IV |
| Credential | D.D.S |
| Practice Address |
2475 E 22nd St Suite 204 Cleveland OH 44115-3221 |
| Practice Telephone | 2165667770 |
| Practice Fax Number | 2165667704 |
| Mailing Telephone | 2165667770 |
| Mailing Fax Number | 2165667704 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17934 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0668406 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578764965 | Henderson Johnson | Technician, Pathology | 111 South Court St, Opelousas, LA 70570 | 2007-05-31 |
| Street Address |
2475 E 22ND ST SUITE 204 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417946062 | Central Medical Arts Pharmacy | Pharmacy | 2475 E 22nd St, Cleveland, OH 44115-3221 | 2005-10-17 |
| 1033405113 | Central Rx Pharmacy & Medical Supply LLC | Pharmacy | 2475 E 22nd St, Cleveland, OH 44115-3221 | 2011-06-27 |
| 1861726333 | St. Mary's Home Health Care of Ohio LLC | Home Health | 2475 E 22nd St, Cleveland, OH 44115-3221 | 2009-09-30 |
| 1962633313 | Meenu Gaba | Internal Medicine | 2475 E 22nd St, Suite 120, Cleveland, OH 44115-3221 | 2009-08-03 |
| 1326258476 | H A Johnson Dds Inc | Dentist | 2475 E 22nd St, Suite 204, Cleveland, OH 44115-3221 | 2007-05-23 |
| 1144368317 | Giesele Robinson Greene | Internal Medicine | 2475 E 22nd St, Cleveland, OH 44115-3221 | 2007-02-01 |
| 1326126368 | Parvez B Khambatta | Internal Medicine | 2475 E 22nd St, Suite 120, Cleveland, OH 44115-3221 | 2006-11-01 |
| 1255417366 | David Lee Miller | Pharmacist | 2475 E 22nd St, Cleveland, OH 44115-3221 | 2006-10-31 |
| 1174607410 | Lokanathan Anand | Internal Medicine | 2475 E 22nd St, #210, Cleveland, OH 44115 | 2006-10-24 |
| 1154439636 | James M Boyle | Internal Medicine | 2475 E 22nd St, Suite 120, Cleveland, OH 44115-3221 | 2006-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049597 | Leila Saeed | Dentist | A2z Dental & Braces, Cleveland, TX 77327-1655 | 2020-09-30 |
| 1679183701 | Ryba Dentistry LLC | Dentist | 3219 Detroit Ave Ste 102, Cleveland, OH 44113-2759 | 2020-08-04 |
| 1568015881 | Garett Samarie Patterson | Dentist | 5350 Transportation Blvd Ste 8, Cleveland, OH 44125-5307 | 2019-07-17 |
| 1902468069 | Stephen Andrew Akin | Dentist | 166 Quillian St, Cleveland, GA 30528-1431 | 2019-06-28 |
| 1023572096 | Tennessee Dental Professionals, PC | Dentist | 609 Paul Huff Pkwy Nw, Cleveland, TN 37312-2970 | 2019-01-24 |
| 1083185516 | Dental Professional Cleveland - Nouneh, Inc. | Dentist | 3269 Steelyard Dr, Cleveland, OH 44109-2381 | 2018-12-10 |
| 1730660770 | Dr Marino and Associates Inc | Dentist | 5716 Broadway Ave, Cleveland, OH 44127-1715 | 2018-08-28 |
| 1164924379 | Savitha Deepthi Yannam | Dentist | 13855 Superior Rd Apt 1309, Cleveland, OH 44118-1045 | 2018-03-03 |
| 1245745686 | Smiles for A Lifetime, Pa | Dentist | 117 E Houston St, Cleveland, TX 77327-4509 | 2017-12-07 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| Find all providers in CLEVELAND | ||||
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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.