PETER JAMES JOHNSON (NPI# 1114966264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114966264 |
| Entity Type | Individual |
| Full Name | PETER JAMES JOHNSON |
| Credential | D.P.M. |
| Practice Address |
107 W Centre St Mahanoy City PA 17948-2605 |
| Mailing Address |
509 Oak St Jim Thorpe PA 18229-2110 |
| Practice Telephone | 5704498670 |
| Mailing Telephone | 5702491021 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2008-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | SC005660 | PA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC005660 | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICAL LICENSE PA | SC005660 | 01 |
| PA | DEA | BJ8532409 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073982187 | Peter Julian Johnson | Massage Therapist | 1928 Friendly Aly, Eugene, OR 97405-2110 | 2015-09-18 |
| 1942454012 | Peter Roy Johnson | Speech-Language Pathologist | 4650 Bay Blvd Apt 1021, Port Richey, FL 34668-6139 | 2008-11-15 |
| 1710148176 | Peter Arnold Johnson | Psychiatry & Neurology | 719 Sawdust Rd Ste 207, The Woodlands, TX 77380-2970 | 2008-06-18 |
| 1316146442 | Peter Eric Johnson | Plastic Surgery | 8901 West Golf Road, Suite 204, Des Plaines, IL 60016-6850 | 2007-07-18 |
| 1609939966 | Peter L Johnson | Social Worker | 39 Ware St, Somerville, MA 02144-1540 | 2006-12-18 |
| 1366532137 | Peter Graham Johnson | Preventive Medicine | 21862 Al Hwy 59, Suite B, Robertsdale, AL 36567-7007 | 2006-10-13 |
| 1669563029 | Peter Charles Johnson | Specialist | 965 Hawthorne Prk., Suite 100a, Athens, GA 30086 | 2006-09-28 |
| 1306873906 | Peter A Johnson | Specialist | 112 Medical Cir, Winchester, VA 22601-3322 | 2006-06-27 |
| 1922042522 | Peter Johnson | Physician Assistant | 1009 Woodshire Ln, Street, MD 21154-1115 | 2006-06-15 |
| 1740260660 | Peter Carl Johnson | Obstetrics & Gynecology | 2737 Navarre Ave Ste 202, Oregon, OH 43616-3276 | 2006-01-18 |
| Street Address |
107 W CENTRE ST |
| City | MAHANOY CITY |
| State | PA |
| Zip Code | 17948-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376599068 | Daniel W Milefsky Jr. | Chiropractor | 107 W Centre St, Mahanoy City, PA 17948-2605 | 2006-05-25 |
| 1487837498 | Advent Foot and Ankle Inc. | Podiatrist | 107 W Centre St, Mahanoy City, PA 17948-2605 | 2007-12-12 |
| 1447276068 | Milefsky Chiropractic PC | Chiropractor | 107 W Centre St, Mahanoy City, PA 17948-2605 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689738387 | K P Flynn Inc | Pharmacy | 15 East Center St, Mahanoy City, PA 17948 | 2006-12-20 |
| 1386738482 | Joseph C. Lobichusky | Dentist | 15 South 'b' Street, Mahanoy City, PA 17948 | 2006-10-03 |
| 1780784389 | Gursharan Singh | General Practice | 323 E Center St, Mahanoy City, PA 17948 | 2006-09-24 |
| 1194819292 | Joseph C. Lobichusky, Dds + Associates | Dentist | 15 South 'b' Street, Mahanoy City, PA 17948 | 2006-10-03 |
| 1376669002 | Beverly Ann Martin | Licensed Practical Nurse | 604 W Pine St, Mahanoy City, PA 17948-2410 | 2007-03-22 |
| 1730205451 | Susan Anna Kemler | Nursing Facility/Intermediate Care Facility | 604 W Pine St, Mahanoy City, PA 17948-2410 | 2007-03-22 |
| 1184732174 | Mahanoy Area School District | Local Education Agency (LEA) | 1 Golden Bear Dr, Mahanoy City, PA 17948-2460 | 2006-08-29 |
| 1821545534 | Andrea Marie Caulfield | Social Worker | 1 Golden Bear Dr, Mahanoy City, PA 17948-2460 | 2016-09-10 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1952681074 | Angelray Family Medical LLC | Clinic/Center | 215 W Centre St, Mahanoy City, PA 17948-2505 | 2011-08-19 |
| Find all providers in zip 17948 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487837498 | Advent Foot and Ankle Inc. | Podiatrist | 107 W Centre St, Mahanoy City, PA 17948-2605 | 2007-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
| City | MAHANOY CITY |
| Zip Code | 17948 |
Please comment or provide details below to improve the information on PETER JAMES 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.