DAVID HENRIK JOHNSON (NPI# 1124312376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124312376 |
| Entity Type | Individual |
| Full Name | DAVID HENRIK JOHNSON |
| Credential | MD |
| Practice Address |
1919 Lincoln Way Ste 415 Coeur D Alene ID 83814-2527 |
| Mailing Address |
2003 Kootenai Health Way Coeur D Alene ID 83814-2527 |
| Practice Telephone | 2086254595 |
| Practice Fax Number | 2086254596 |
| Mailing Telephone | 2086254000 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2017-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
M13808 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 | |
| IA | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804044 | David Johnson | Home Health Aide | 4436 Davis Grove Blvd, Olive Branch, MS 38654-5631 | 2020-09-04 |
| 1952803314 | David M Johnson | Specialist | 1345 Nw 15th St, Lincoln City, OR 97367-3327 | 2018-03-01 |
| 1932615333 | David Johnson | Hearing Instrument Specialist | 905 N Cass St, Wabash, IN 46992-1043 | 2017-12-20 |
| 1316457211 | David Johnson | Specialist/Technologist | 14354 Mission Way, Broomfield, CO 80023-4049 | 2017-10-05 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1366812141 | David Clayton Johnson | Occupational Therapist | 201 Ridgecrest Dr, Chapel Hill, NC 27514-2104 | 2015-10-06 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
| 1710377585 | David Jackson Johnson | Counselor | 862 S Main St Ste 2, Brigham City, UT 84302-3300 | 2015-01-30 |
| 1376892828 | David Berek Johnson | Chiropractor | 7559 Kayne Blvd, Columbus, GA 31909-2521 | 2012-08-30 |
| Street Address |
1919 LINCOLN WAY STE 415 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326271032 | Ellee S Reichert | Nurse Practitioner | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2009-08-27 |
| 1851869200 | Britni Turkenburg | Physician Assistant | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814 | 2018-11-04 |
| 1114393618 | Krista Tickemyer | Registered Nurse | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814 | 2015-08-19 |
| 1245665660 | Matthew Lute | Internal Medicine | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2013-09-04 |
| 1487940714 | Justin Cochrane | Internal Medicine | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814 | 2011-06-24 |
| 1528351954 | Christopher Michael Wood | Internal Medicine | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235211582 | George Christopher Kutteruf | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2476 | 2006-10-19 |
| 1962495283 | Harold G Preiksaitis | Internal Medicine | 1607 Lincoln Way Ste 200, Coeur D Alene, ID 83814-2476 | 2005-08-23 |
| 1245665660 | Matthew Lute | Internal Medicine | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2013-09-04 |
| 1487940714 | Justin Cochrane | Internal Medicine | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814 | 2011-06-24 |
| 1528351954 | Christopher Michael Wood | Internal Medicine | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2011-05-18 |
| 1306003561 | Kevin Robert Webb | Internal Medicine | 1919 Lincoln Way, Ste 415, Coeur D Alene, ID 83814-2527 | 2008-05-16 |
| 1619029824 | Kutteruf and Robinson Md Pa | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2462 | 2007-01-17 |
| 1629147103 | Gavin S Young | Internal Medicine | 1919 Lincoln Way, Suite 415, Coeur D Alene, ID 83814-2527 | 2006-11-07 |
| 1386713881 | Michael W James | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2476 | 2006-11-07 |
| 1548339047 | R Randy Hopkins | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2462 | 2006-11-07 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on DAVID HENRIK 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.