MATTHEW PHILIP JOHNSTON (NPI# 1134482755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134482755 |
| Entity Type | Individual |
| Full Name | MATTHEW PHILIP JOHNSTON |
| Credential | ARNP |
| Practice Address |
2100 N Main St Ste 1a Madisonville KY 42431-9007 |
| Practice Telephone | 2708216262 |
| Practice Fax Number | 2708216272 |
| Mailing Telephone | 2708216262 |
| Mailing Fax Number | 2708216272 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2014-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007618 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BCBS TROVER | 000000781754 | 01 |
| KY | 7100215240 | 05 | |
| KY | RR MEDICARE-BAPTIST HEALTH MADISONVILLE INC | P01105256 | 01 |
| KY | BCBS WALMART MILLE | 000000781639 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003062290 | Matthew Alexander Johnston | Surgery | 1221 E Madison St, Ste 1401, Seattle, WA 98122-3913 | 2008-08-07 |
| 1447467170 | Matthew W Johnston | Orthopaedic Surgery | 410 Celectration Place, Suite 106, Celebration, FL 34747 | 2007-05-16 |
| 1972572923 | Matthew M Johnston | Obstetrics & Gynecology | 418 Eh Ct, Unit 4b, Brunswick, GA 31520-2199 | 2006-03-14 |
| 1982692307 | Matthew D Johnston | Family Medicine | 1255 East 3900 South, Salt Lake City, UT 84124 | 2005-10-10 |
| 1881257855 | Matthew David Johnston | Anesthesiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-04-16 |
| 1770036402 | Matthew Johnston | Physical Therapist | 1500 Horizon Dr, Suite102e, Chalfont, PA 18914-3966 | 2016-07-29 |
| 1952751562 | Matthew Johnston | Physician Assistant | 6451 Brentwood Stair Rd, Fort Worth, TX 76112-3200 | 2016-06-14 |
| 1265844690 | Matthew Benjamine Johnston | Family Medicine | 210 Sharon Rd Ste D, Circleville, OH 43113-1498 | 2014-05-20 |
| 1255758074 | Matthew Aldrich Johnston | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2014-03-19 |
| 1902127285 | Matthew Alan Johnston | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 22 W Underwood St, Orlando, FL 32806 | 2010-06-21 |
| Street Address |
2100 N MAIN ST STE 1A |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760662373 | Jayna Robyn Jones | Emergency Medicine | 2100 N Main St Ste 1a, Madisonville, KY 42431-9007 | 2007-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1932598257 | Deidra Boyken | Counselor | 145 E. Center Street Suite 1d, Madisonville, KY 42431 | 2015-01-12 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| Find all providers in zip 42431 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
| 1588273098 | Tamara Lynn Zelch | Nurse Practitioner | 142 Pine Loop Dr, Madisonville, TN 37354-6813 | 2020-07-30 |
| 1730706748 | Renee Hurley Christman | Nurse Practitioner | 28628 Venette Ct, Madisonville, LA 70447-3220 | 2020-06-25 |
| 1992329973 | Allison Newton Ravassipour | Nurse Practitioner | 110 Woodthrush Dr, Madisonville, LA 70447-4004 | 2020-06-04 |
| 1376926428 | Nacole Diaz | Nurse Practitioner | 633 Piney Ridge Cir, Madisonville, LA 70447-3101 | 2015-07-08 |
| 1407239890 | Christine Marie Talley | Nurse Practitioner | 238 Red Fox Run Blvd, Madisonville, LA 70447-3116 | 2015-07-02 |
| 1326487554 | Kaleidoscope Family Health, Inc. | Nurse Practitioner | 4900 New Highway 68, Madisonville, TN 37354-2142 | 2013-06-20 |
| 1124385257 | Ardith Elaine O'rourke | Nurse Practitioner | 57 J.e. Ellis Road, Madisonville, KY 42431 | 2012-04-13 |
| 1679751002 | Kelle Dawn Harper | Nurse Practitioner | 220 W Trinity St, Madisonville, TX 77864-1914 | 2008-02-07 |
| 1356384788 | Sheila M Gaia | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354-3001 | 2006-06-14 |
| Find all providers in MADISONVILLE | ||||
| City | MADISONVILLE |
| Zip Code | 42431 |
Please comment or provide details below to improve the information on MATTHEW PHILIP JOHNSTON.
| 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.