DR. RYAN KENJI JOHNSON (NPI# 1114941416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114941416 |
| Entity Type | Individual |
| Full Name | DR. RYAN KENJI JOHNSON |
| Credential | M.D. |
| Practice Address |
5983 E Grant Rd Ste 117 Tucson AZ 85712-2365 |
| Mailing Address |
3200 E Camelback Rd Ste 250 Phoenix AZ 85018-2311 |
| Practice Telephone | 6029333166 |
| Practice Fax Number | 6029334166 |
| Mailing Telephone | 6029331813 |
| Mailing Fax Number | 6029331820 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 37244 | IA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35247 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
35247 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1235693862 | Ryan Joseph Maurice Johnson | Behavior Technician | 5985 Devecchi Ave Apt 277, Citrus Heights, CA 95621-6091 | 2019-01-28 |
| 1285084459 | Ryan Johnson | Dentist | 1566 Dunn Ave, Jacksonville, FL 32218-4734 | 2016-06-17 |
| 1609265818 | Ryan Johnson | Specialist/Technologist | 4336 Dell Rd Apt K, Lansing, MI 48911-8136 | 2015-01-12 |
| 1790181212 | Ryan Johnson | Specialist/Technologist | 1162 Eden Terrace Dr, Rock Hill, SC 29733-3208 | 2014-11-11 |
| 1588073431 | Ryan Scott Johnson | Massage Therapist | 10 North Virginia Street, Crystal Lake, IL 60014 | 2014-08-05 |
| 1235545161 | Ryan Johnson | Counselor | 207 W Branch Ave, Pine Hill, NJ 08021-7084 | 2014-07-11 |
| 1417369042 | Ryan Alan Johnson | Dentist | 400 Fairview Ave Ste 6, Ponca City, OK 74601-1910 | 2014-06-02 |
| 1861815482 | Ryan James Johnson | Registered Nurse | 140 Tamarack Ave, Apt 1, Carlsbad, CA 92008-4099 | 2014-02-03 |
| 1306281027 | Ryan Aaron Johnson | Audiologist | 4190 Bonita Rd Ste 104, Bonita, CA 91902-1330 | 2013-05-08 |
| Street Address |
5983 E GRANT RD STE 117 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902298748 | Jessica Lane | Pediatrics | 5983 E Grant Rd, Tucson, AZ 85712-2365 | 2015-03-03 |
| 1750789020 | Rejuvenight, LLC | Clinic/Center | 5983 E Grant Rd, Suite 105, Tucson, AZ 85712-2365 | 2014-12-18 |
| 1659782118 | Stephanie Lynn Culver | Registered Nurse | 5983 E Grant Rd, Suite 117, Tucson, AZ 85712-2365 | 2014-05-17 |
| 1275826372 | Rem Medical Arizona LLC | Clinic/Center | 5983 E Grant Rd, Building 3, Suite #105, Tucson, AZ 85712-2365 | 2011-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326099615 | Jesus Carlos Macias | Pediatrics | 5983 E Grant Rd Ste 117, Tucson, AZ 85712-2366 | 2006-05-12 |
| 1396718524 | Richard Donnerstein | Pediatrics | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2006-02-08 |
| 1487626222 | Brent Jon Barber | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-02-06 |
| 1174058036 | Preston Joseph Boyer | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2017-04-27 |
| 1992804280 | Scott Edward Klewer | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-09-22 |
| 1487751947 | Daniela Lax | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-09-19 |
| 1386699510 | Gregory M Nichols | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-05-24 |
| 1629041470 | Stanley Julian Goldberg | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760660369 | John P Breinholt IIi | Pediatrics | Pediatric Cardiology, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2008-02-06 |
| 1104999887 | Wayne Chiavacci | Pediatrics | 1832 S 8th Ave, Yuma, AZ 85364-5517 | 2006-11-17 |
| 1316956709 | Christopher L Lindblade | Pediatrics | 10250 N 92nd St Ste 212, Scottsdale, AZ 85258-4519 | 2006-08-05 |
| 1366467094 | John Henry Stock | Pediatrics | 7505 S Mcclintock Dr, Suite 103, Tempe, AZ 85283-5042 | 2006-07-13 |
| 1649203480 | Clifton Worsham | Pediatrics | 5757 W Thunderbird Rd Ste E353, Glendale, AZ 85306-4688 | 2006-07-07 |
| 1336178607 | Jennifer Mary Rutledge | Pediatrics | 4327 E Lupine Ave, Phoenix, AZ 85028-2230 | 2006-06-30 |
| 1063455178 | Daniel E Miga | Pediatrics | 1432 S Dobson Rd Ste 512, Mesa, AZ 85202-4778 | 2006-06-14 |
| 1124079546 | Shabib A Alhadheri | Pediatrics | 936 W. Chandler Blvd., Suite #2, Chandler, AZ 85225 | 2006-05-12 |
| 1306826896 | Erik G Ellsworth | Pediatrics | 1501 N Gilbert Rd Ste 203, Gilbert, AZ 85234-2394 | 2006-01-19 |
| 1851376883 | Ernerio T. Alboliras | Pediatrics | 9440 E Ironwood Square Dr, Scottsdale, AZ 85258-4569 | 2005-12-13 |
| 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.