KENNETH LEE JOHNSON (NPI# 1124061783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124061783 |
| Entity Type | Individual |
| Full Name | KENNETH LEE JOHNSON |
| Credential | M.D. |
| Practice Address |
1700 Tarboro St W Suite 100 Wilson NC 27893-3481 |
| Practice Telephone | 2523995300 |
| Practice Fax Number | 2523995301 |
| Mailing Telephone | 2523995300 |
| Mailing Fax Number | 2523995301 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2010-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 2009-01364 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5912563 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487144952 | Kenneth Cornell Johnson Jr. | Counselor | 91 Park Ave W, Mansfield, OH 44902-1630 | 2018-05-10 |
| 1043756414 | Kenneth Byron Johnson | Physical Therapist | 36 Lavelle Court, Unalaska, AK 99685 | 2017-01-10 |
| 1932565280 | Kenneth Johnson | Case Manager/Care Coordinator | 1138 N Dupre St, New Orleans, LA 70119-3204 | 2015-12-31 |
| 1003223298 | Kenneth Johnson | Specialist/Technologist | 6201 San Amaro Dr, Coral Gables, FL 33146-2407 | 2014-07-19 |
| 1831511807 | Kenneth Larry Johnson I | Local Education Agency (LEA) | 216 Ne 19th Ave, Pompano Beach, FL 33060-6743 | 2014-01-10 |
| 1700222544 | Kenneth Paul Johnson | Pharmacist | 506 Augsburg Ave, Bismarck, ND 58504-7005 | 2013-05-20 |
| 1528302635 | Kenneth James Johnson | Pharmacist | 8145 Rhode Island Cir, 1, Bloomington, MN 55438-1152 | 2012-11-15 |
| 1760750194 | Kenneth Casper Johnson | Obstetrics & Gynecology | 3915 Skyline Rd, Carlsbad, CA 92008-2746 | 2011-12-13 |
| 1225305931 | Kenneth Lorenzo Johnson | Psychologist | 7605 W 7 Mile Rd, Detroit, MI 48221-2163 | 2011-11-23 |
| 1528371408 | Kenneth Johnson | Physical Therapist | 10753 Falls Rd Ste 235, Lutherville, MD 21093-4597 | 2010-07-20 |
| Street Address |
1700 TARBORO ST W SUITE 100 |
| City | WILSON |
| State | NC |
| Zip Code | 27893-3481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639592116 | Wilson Medical Center, Inc. | Internal Medicine | 1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 | 2014-02-04 |
| 1932521010 | Dlp Wilson Physician Practices LLC | Dietitian, Registered | 1700 Tarboro St W, Ste. 100, Wilson, NC 27893-3481 | 2014-01-09 |
| 1497060909 | Wilson Medical Center, Inc. | Audiologist | 1700 Tarboro St W, Wilson, NC 27893-3481 | 2010-08-10 |
| 1508185299 | Wilson Medical Center, Inc. | Internal Medicine | 1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 | 2010-05-20 |
| 1033438718 | Wilson Medical Center, Inc. | Psychiatry & Neurology | 1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 | 2010-05-20 |
| 1174858773 | Eastern Internal Medicine Pa | Internal Medicine | 1700 Tarboro St W, Suite 202, Wilson, NC 27893-3481 | 2009-10-15 |
| 1508097478 | Wilson Medical Center, Inc. | Otolaryngology | 1700 Tarboro St W, Suite 100, Wilson, NC 27893-3481 | 2009-07-27 |
| 1831391945 | Benjamin Michael Thomas | Psychiatry & Neurology | 1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 | 2007-06-01 |
| 1184723405 | Sopna E Jacob | Internal Medicine | 1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 | 2006-09-22 |
| 1083637391 | Jessica Heather Mckee | Internal Medicine | 1700 Tarboro St W, Suite 202, Wilson, NC 27893-3481 | 2006-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| 1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
| 1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
| 1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
| Find all providers in zip 27893 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619150950 | Samuel David Cohen | Otolaryngology | 2801 Wooten Blvd Sw, Wilson, NC 27893-8628 | 2007-12-10 |
| 1508097478 | Wilson Medical Center, Inc. | Otolaryngology | 1700 Tarboro St W, Suite 100, Wilson, NC 27893-3481 | 2009-07-27 |
| 1386717320 | Robert Alan Satterly | Otolaryngology | 2303 Wellington Dr Sw, Wilson, NC 27893-8620 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605888 | Inbal Hazkani Bendror | Otolaryngology | 1217 Mossy Glade Cir, Apex, NC 27502-4874 | 2019-12-05 |
| 1174183156 | Queen City Ear Nose and Throat Pllc | Otolaryngology | 8924 Blakeney Professional Dr, Charlotte, NC 28277-6660 | 2019-06-20 |
| 1194244012 | Ethan Staats | Otolaryngology | 391 Heaton Forest Rd, Cashiers, NC 28717 | 2017-09-12 |
| 1528423068 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 149 Plantation Ridge Drive, Suite 190, Mooresville, NC 28117-9178 | 2015-12-29 |
| 1598151763 | Adam Richard Gigliotti | Otolaryngology | 400 E Stonewall St, Charlotte, NC 28202-3601 | 2015-04-14 |
| 1891112389 | Marshall Snow | Otolaryngology | 109 Piedmont Ave, Winston Salem, NC 27101-3607 | 2014-03-24 |
| 1073937942 | John Monroe | Otolaryngology | 525 Hardee Branch Rd, West End, NC 27376-8961 | 2014-02-12 |
| 1457794893 | Candace Mitchell Waters | Otolaryngology | 170 Manning Drive Campus Box #7070, Chapel Hill, NC 27599-4216 | 2013-04-16 |
| 1457794927 | Amanda Jo Lott Marcellino | Otolaryngology | 1132 N Church St Ste 200, Greensboro, NC 27401 | 2013-04-15 |
| 1710320510 | Nicolas-george Katsantonis | Otolaryngology | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607 | 2013-04-10 |
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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.