DR. CHRISTOPHER L JOHNSON (NPI# 1154337202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154337202 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER L JOHNSON |
| Credential | DPM |
| Practice Address |
1050 W 10th St Rolla MO 65401 |
| Mailing Address |
1050 W 10th St Attn: Executive Director of Physician Clinics Rolla MO 65401-2905 |
| Practice Telephone | 5734583402 |
| Practice Fax Number | 5734266247 |
| Mailing Telephone | 5733649000 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000803 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 365905405 | 05 | |
| MO | 30531900 | 05 | |
| MO | 365905413 | 05 | |
| MO | 305351926 | 05 | |
| MO | 305351918 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993022 | Christopher Brian Johnson | Physical Therapy Assistant | 4198 Ouray St, Colorado City, CO 81019 | 2020-02-12 |
| 1437619210 | Christopher Lee Johnson | Behavioral Analyst | 1947 Larkspur Apt 1007, San Antonio, TX 78213-4948 | 2019-03-20 |
| 1275097917 | Christopher F Johnson Jr. | Specialist/Technologist | 403 Greenbriar Dr Apt 214, Normal, IL 61761-6221 | 2019-01-28 |
| 1568936227 | Christopher Harrell Johnson | Licensed Vocational Nurse | 3001 Buddie St, Tyler, TX 75701-0605 | 2019-01-16 |
| 1164917332 | Christopher Rolf Johnson | Student in an Organized Health Care Education/Training Program | 444 S. San Vicente Blvd. Suite 603, Los Angeles, CA 90048-1804 | 2018-06-28 |
| 1407375488 | Christopher Johnson | Military Health Care Provider | 3170 Bebas Ln, San Diego, CA 92123-2046 | 2017-09-11 |
| 1861800542 | Christopher Johnson | Physical Therapist | 4215 Yanceyville Rd, Apt C, Browns Summit, NC 27214-9040 | 2014-07-26 |
| 1184035610 | Christopher Robert Johnson | Student in an Organized Health Care Education/Training Program | 37 Marcella St, Boston, MA 02119-1217 | 2014-05-19 |
| 1376849315 | Christopher Todd Johnson | Registered Nurse | 82073 190th St, Hayward, MN 56043-4081 | 2011-02-09 |
| 1952604886 | Christopher Johnson | Behavioral Analyst | 2709 Mustang Trl, Edmond, OK 73012-6674 | 2010-12-15 |
| Street Address |
1050 W 10TH ST |
| City | ROLLA |
| State | MO |
| Zip Code | 65401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962570 | Donald James Mcmullin | Internal Medicine | 1050 W 10th St, Rolla, MO 65401 | 2005-06-16 |
| 1366066037 | Pcrmc Medical Group, Inc | Clinic/Center | 1050 W 10th St, Rolla, MO 65401-2905 | 2020-05-29 |
| 1659857415 | Josie Leann Eoff | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2018-07-16 |
| 1659893758 | Joshua Thomas Turnbaugh | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2017-07-10 |
| 1700327897 | Emily Wiseman | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2017-03-09 |
| 1487046181 | Pamela N. Gray | Physician Assistant | 1050 W 10th St, Rolla, MO 65401-2905 | 2015-03-04 |
| 1174928857 | Arezo Hesaraki | Dentist | 1050 W 10th St, Ste 480, Rolla, MO 65401-2905 | 2014-10-23 |
| 1922416296 | Karen Ulrich | Advanced Practice Midwife | 1050 W 10th St, Rolla, MO 65401-2905 | 2014-07-30 |
| 1093142531 | Meredith Leigh Napierala | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401-2905 | 2013-09-30 |
| 1528409638 | Curtis Morrison | Internal Medicine | 1050 W 10th St, Rolla, MO 65401-2905 | 2013-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417919432 | Sharon R Anderson | Podiatrist | 1210 Homelife Plz, Rolla, MO 65401-2512 | 2006-04-05 |
| 1669792099 | Dixie Fox | Podiatrist | 1210 Homelife Plz, Rolla, MO 65401-2512 | 2010-06-08 |
| 1982667366 | Mid-missouri Foot and Ankle Center | Podiatrist | 1210 Homelife Plz, Rolla, MO 65401-2512 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851923023 | Center for Advanced Foot & Ankle Surgery, Inc. | Podiatrist | 3915 Watson Rd Ste 200, Saint Louis, MO 63109-1251 | 2020-02-06 |
| 1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
| 1144753492 | Creighton Woolsey | Podiatrist | 1155 W Parkview St Ste 2j, Bolivar, MO 65613-8598 | 2017-04-04 |
| 1457701559 | Robert Austin Djali | Podiatrist | 1224 Graham Rd Ste 3010, Florissant, MO 63031-8028 | 2016-06-20 |
| 1770978074 | Shelly Diane Sedberry | Podiatrist | 1801 W 32nd St Bldg C, Joplin, MO 64804 | 2015-04-02 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1093117335 | True Health Integration and Synergy | Podiatrist | 6311 Ronald Reagan Dr, #167, Lake St Louis, MO 63367-2681 | 2014-09-18 |
| 1710305677 | Kevin M Renner | Podiatrist | 225 Physicians Park Ste 102, Poplar Bluff, MO 63901-3918 | 2014-03-28 |
| 1134474554 | Rajan K Patel | Podiatrist | 3930 S Jackson Dr, Apt 308, Independence, MO 64057-1706 | 2012-07-23 |
| 1720346307 | Feet for Life Centers Inc PC | Podiatrist | 17201 Chesterfield Airport Rd, Chesterfield, MO 63005-1423 | 2012-05-02 |
| 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.