DR. LANCE JON JOHNSON (NPI# 1174058630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174058630 |
Entity Type | Individual |
Full Name | DR. LANCE JON JOHNSON |
Credential | DPM |
Practice Address |
1400 W Main St Bldg 1, Suite A Bellevue OH 44811-9429 |
Mailing Address |
Po Box 638775 Cincinnati OH 45263-8775 |
Practice Telephone | 4194832494 |
Practice Fax Number | 4194833224 |
Mailing Telephone | 8005144390 |
Mailing Fax Number | 4408083675 |
Enumeration Date | 2017-04-21 |
Last Update Date | 2020-08-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36.003963 | OH | Podiatric Medicine & Surgery Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
234 Goodman St, Podiatry, Cincinnati, OH 452192364 | 5135583668 | 5135585036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568505873 | Lance A Johnson | Chiropractor | 224 N Main Street, New City, NY 10956 | 2007-02-15 |
1699795864 | Lance M Johnson | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2006-07-20 |
1740676907 | Lance Johnson | Family Medicine | 310 Santa Fe Dr, Encinitas, CA 92024-5110 | 2015-04-14 |
1275806010 | Lance Cordell Johnson | Clinic/Center | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-02-09 |
1023284585 | Lance Gregory Johnson | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2008-05-05 |
Street Address |
1400 W MAIN ST BLDG 1, SUITE A |
City | BELLEVUE |
State | OH |
Zip Code | 44811-9429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871014936 | Paul Leatham | Podiatrist | 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 | 2017-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275979296 | Samuel Elias Ross | Family Medicine | 1255 W Main St Ste B, Bellevue, OH 44811 | 2013-05-16 |
1376780379 | Firelands Regional Medical Center | General Acute Care Hospital | 290 Progress Drive, Suite A, Bellevue, OH 44811 | 2009-01-13 |
1619195914 | Michael Barry Brunner | Pharmacist | 234 W Main Street, Bellevue, OH 44811 | 2007-04-23 |
1952524704 | April L Ptak | Massage Therapist | 855 West Main St, Suite E, Bellevue, OH 44811 | 2007-04-10 |
1215150057 | Erica Drossman | Massage Therapist | 855 West Main Street, Suite E, Bellevue, OH 44811 | 2007-04-10 |
1275644981 | Cornerstone Psychological Affiliates | Counselor | 817 Kilbourne St, Suite F, Bellevue, OH 44811 | 2006-08-31 |
1528172475 | Bhms Inc | Durable Medical Equipment & Medical Supplies | 234 West Main St, Bellevue, OH 44811 | 2006-08-18 |
1750494530 | Mark Allen Motley | Optometrist | 1355 West Main St, Bellevue, OH 44811 | 2006-08-16 |
1487675567 | Orville Rene Amburn | Family Medicine | 250 Castalia St, G, Bellevue, OH 44811 | 2006-07-22 |
1457320095 | Erie Surgical Associates | Surgery | 1400 West Main St, Suite D, Bellevue, OH 44811 | 2006-03-16 |
Find all providers in zip 44811 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528226263 | Tae Soon Park | Podiatrist | 2950 Northup Way Ste 115, Bellevue, WA 98004-1406 | 2008-05-29 |
1558559773 | Toshifumi J Saigo | Podiatrist | 14575 Bel Red Rd # C102, Bellevue, WA 98007-3908 | 2007-10-12 |
1760446611 | Glen A. Curda | Podiatrist | 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 | 2006-04-16 |
1871014936 | Paul Leatham | Podiatrist | 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 | 2017-06-29 |
1902280431 | Khanh Le | Podiatrist | 1609 116th Ave Ne, Bellevue, WA 98004-3024 | 2015-07-14 |
1750796579 | Metroliance Foot and Ankle Group | Podiatrist | 2950 Northup Way, Suite #115, Bellevue, WA 98004-1406 | 2014-07-01 |
1861831992 | Northern Ohio Foot and Ankle Specialists, LLC | Podiatrist | 1400 W Main St, Bellevue, OH 44811-9088 | 2013-06-21 |
1013215342 | Bellevue Podiatry Inc. | Podiatrist | 1370 116th Ave Ne, Ste. 206, Bellevue, WA 98004-3825 | 2011-03-10 |
1598094807 | Summy Foot and Ankle, PC | Podiatrist | 2705 Samson Way, Bellevue, NE 68123-4307 | 2009-12-15 |
1760661334 | Puget Sound Specialty Physicians Pllc | Podiatrist | 4140 Factoria Blvd Se, Suite 1b, Bellevue, WA 98006-5261 | 2007-10-30 |
Find all providers in BELLEVUE |
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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.