MICHAEL O JOHNSON (NPI# 1205874476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205874476 |
| Entity Type | Individual |
| Full Name | MICHAEL O JOHNSON |
| Credential | M.D. |
| Practice Address |
300 1st Capitol Dr Saint Charles MO 63301-2844 |
| Mailing Address |
1836 Lackland Hill Pkwy Attn: Credentialing Saint Louis MO 63146-3572 |
| Practice Telephone | 6369475000 |
| Mailing Telephone | 3149890300 |
| Mailing Fax Number | 3148101399 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
R7N07 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
| 1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
| Street Address |
300 1ST CAPITOL DR |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63301-2844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256649 | Barbara A Holt | Nurse Anesthetist, Certified Registered | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2005-06-22 |
| 1578162731 | Madeline Margaret Litschgi | Dietitian, Registered | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2020-10-20 |
| 1841816469 | Jason M Falcone | Nurse Anesthetist, Certified Registered | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2020-06-19 |
| 1477179042 | Thomas Watson | Nurse Anesthetist, Certified Registered | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2020-06-19 |
| 1477108892 | Cep America LLC | Emergency Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2019-08-02 |
| 1841855335 | Gladys Waturi Gitau | Nurse Practitioner | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2019-05-09 |
| 1689139842 | Marcus Earl Woodson | Social Worker | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2019-02-01 |
| 1750845657 | Jennifer Rushing | Pharmacist | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2019-01-24 |
| 1376028530 | Anastasia Norville | Counselor | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2018-10-03 |
| 1487132015 | Ssm Health Care Corporation | Counselor | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2018-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189910 | Kelsey Fix | Occupational Therapist | 3228 Silvertrail Dr, Saint Charles, MO 63301 | 2019-11-19 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1558921361 | Next Steps Therapy & Coaching, LLC | Clinic/Center | 1040 Fairgrounds Road, St. Charles, MO 63301 | 2019-06-14 |
| 1093297426 | Delia Smith | Specialist/Technologist | 209 S Kingshighway, St. Charles, MO 63301 | 2018-09-01 |
| 1285136754 | Helping Hand Home Healthcare, LLC | Home Health | 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 | 2018-03-01 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1457807067 | Angela Thro | Occupational Therapist | 3489 Boschertown Road, Saint Charles, MO 63301 | 2016-09-01 |
| 1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
| 1114337102 | Nucrown,inc. | Optometrist | 1910 First Capital Drive, St. Charles, MO 63301 | 2014-04-30 |
| 1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
| Find all providers in zip 63301 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1558300392 | William V Walker | Internal Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-06-06 |
| 1962441428 | Ronald A Glass | Internal Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-06-06 |
| 1699714758 | Wendi Trout | Internal Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-06-05 |
| 1982643185 | William Schnarr | Internal Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-06-05 |
| 1881633931 | Thomas Murray Siler | Internal Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-06-05 |
| 1407893258 | Katherine Y Haugland | Internal Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-06-01 |
| 1801843230 | Laura Diane Smith | Internal Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-05-30 |
| 1962456657 | Joseph V Attewell | Internal Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255641684 | Ashwin Mani | Internal Medicine | 999 Executive Parkway, Ste 210, St. Louis, MO 63141 | 2010-10-19 |
| 1275845208 | Jimmy L Moss | Internal Medicine | 12634 Olive Blvd Dept Of, Saint Louis, MO 63141-6337 | 2010-07-07 |
| 1124215124 | Aravind Pothineni | Internal Medicine | 1723 Broadway Suite 205, Cape Giradeau, MO 63701 | 2007-10-03 |
| 1023202736 | Branson Pulmonology LLC | Internal Medicine | 545 Branson Landing Blvd Ste 301, Branson, MO 65616-4055 | 2007-09-05 |
| 1982618856 | Mahmoud Mohamad Ali El-sayed | Internal Medicine | 1300 Turtle Cv, Ballwin, MO 63011-4249 | 2006-07-28 |
| 1689602930 | Sohail Khan | Internal Medicine | 1111 Mcintosh Cir Ste 302, Joplin, MO 64804-3693 | 2006-06-28 |
| 1154360550 | Nikhat Salamat | Internal Medicine | 727 Craig Rd, Suite 101, Creve Coeur, MO 63141-7175 | 2006-06-04 |
| 1558309898 | John R. Carlile | Internal Medicine | 1000 E. Primrose, #200, Springfield, MO 65807-5388 | 2006-06-02 |
| 1710933825 | Adeel Pervez | Internal Medicine | 4911 S Arrowhead Dr Ste 201, Independence, MO 64055-7008 | 2006-05-26 |
| 1154389336 | Patrick B Sandiford | Internal Medicine | 201 First Executive Ave, St Peters, MO 63376-1697 | 2006-05-03 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CHARLES |
| Zip Code | 63301 |
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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.