DR. CLIFFORD DEAN JOHNSON (NPI# 1154499234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154499234 |
| Entity Type | Individual |
| Full Name | DR. CLIFFORD DEAN JOHNSON |
| Credential | MD |
| Practice Address |
6815 Hilltop Rd Ste 100 Shawnee KS 66226 |
| Practice Telephone | 9134222020 |
| Practice Fax Number | 9134416847 |
| Mailing Telephone | 9134222020 |
| Mailing Fax Number | 9134416847 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0421454 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100135680B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629302898 | Clifford James Johnson | Hearing Instrument Specialist | 15816 N. Penn., Ste 2, Edmond, OK 73013 | 2009-09-22 |
| 1003967456 | Clifford John Johnson | Family Medicine | 7320 179th St Sw, Edmonds, WA 98026-5534 | 2007-01-14 |
| 1578585725 | Clifford Johnson Jr. | Orthopaedic Surgery | 1802 S. Mattis Ave., Champaign, IL 61821-5923 | 2006-07-24 |
| 1629407564 | Clifford Johnson Jr. | Licensed Practical Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2013-11-01 |
| 1306145396 | Clifford William Johnson Jr. | Hearing Instrument Specialist | 4015 Governor Dr, Miracle-ear Center, San Diego, CA 92122-2522 | 2011-03-16 |
| 1952630519 | Clifford Johnson | Social Worker | 317 N Main St, Manchester, CT 06042-2007 | 2009-12-10 |
| 1730319831 | Clifford Jeron Johnson | Counselor | 1037 Pathfinder Way, Suite130, Rockledge, FL 32955-3242 | 2009-07-23 |
| 1336366723 | Clifford L Johnson | Dentist | 4060 Johns Creek Pkwy, Suite A, Suwanee, GA 30024-1254 | 2007-04-19 |
| 1174579940 | Clifford Paul Johnson | Urology | 50 Hospital Dr, Suite 2a, Hendersonville, NC 28792-5244 | 2006-05-25 |
| 1538137542 | Clifford G Johnson | Internal Medicine | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2006-03-08 |
| Street Address |
6815 HILLTOP RD STE 100 |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710942891 | Chad Winters | Family Medicine | 6815 Hilltop Rd, Suite 100, Shawnee, KS 66226-3532 | 2006-04-20 |
| 1831719772 | Anew Health LLC | Psychiatric Hospital | 6815 Hilltop Rd, Shawnee, KS 66226-3532 | 2020-04-21 |
| 1457659104 | Jandra G Hancock | Clinical Nurse Specialist | 6815 Hilltop Rd, Suite 100, Shawnee, KS 66226-3577 | 2011-03-04 |
| 1366605024 | Theresa Marie Turk | Registered Nurse | 6815 Hilltop Rd, Shawnee, KS 66226-3577 | 2008-07-02 |
| 1457429524 | Steven D Rettinger | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| 1245308329 | Philip Eugene Martin | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| 1477626547 | Mid-america Physicians, Chtd. | Family Medicine | 6815 Hilltop Rd, Ste. 100, Shawnee, KS 66226-3532 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598792 | Kaitlyn Nicole Jackman | Specialist/Technologist | 6320 Anderson St, Shawnee, KS 66226 | 2018-11-27 |
| 1912436379 | Alexandra Snyder | Behavioral Analyst | 23714 W. 54th Terr., Shawnee, KS 66226 | 2017-06-08 |
| 1992179741 | Melanie Miller | Nurse Practitioner | 5211 Woodsonia Dr, Shawnee, KS 66226 | 2015-11-17 |
| 1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
| 1063726941 | Kinsey Rachel Honeyman | Optometrist | 5433 Roberts Street, Shawnee, KS 66226 | 2010-08-03 |
| 1093974529 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 22700 W 55th Terrace, Shawnee, KS 66226 | 2008-06-09 |
| 1194811620 | William Schmidt | Physician Assistant | 6850 Hilltop Road, Suite 170, Shawnee, KS 66226 | 2006-10-04 |
| 1205280450 | Emily Meyer | Dentist | 6810 Silverheel St, Shawnee, KS 66226 | 2016-04-13 |
| 1013352384 | Honeyman Investments LLC | Eyewear Supplier (Equipment, not the service) | 5433 Roberts Street, Shawnee, KS 66226 | 2013-05-01 |
| 1700039781 | Kelly Jarczyk | Nurse Practitioner | 225700 W 55th Terr, Shawnee, KS 66226-0000 | 2008-11-04 |
| Find all providers in zip 66226 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316450133 | Shawnee Mission Medical Center Inc | Family Medicine | 10824 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2017-11-15 |
| 1962807123 | Xpress Wellness LLC | Family Medicine | 8 E Macarthur St, Shawnee, OK 74804-2135 | 2014-10-30 |
| 1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
| 1902146723 | Mashek Health Services, LLC | Family Medicine | 4521 Gracelann, Shawnee, OK 74804-2366 | 2013-02-15 |
| 1710244124 | Blake Jerald Williamson | Family Medicine | 14611 W 50th St, Shawnee, KS 66216-5116 | 2012-04-23 |
| 1821126566 | Jawaria Khalid | Family Medicine | 10824 Shawnee Mission Parkway, Shawnee, KS 66203-3512 | 2007-03-02 |
| 1740338359 | Terese A Bauer | Family Medicine | 10820 W 64th St Ste 202, Gianna Family Care, Shawnee, KS 66203-3571 | 2007-01-08 |
| 1174608319 | Mitchell A Wolf | Family Medicine | 3214 Kethley Rd, Shawnee, OK 74804-9625 | 2006-10-26 |
| 1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
| 1942317854 | Shawnee Mission Medical Center, Inc. | Family Medicine | 11245 Shawnee Mission Parkway, Shawnee, KS 66203-3333 | 2006-08-24 |
| Find all providers in SHAWNEE | ||||
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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.