MATTHEW DAVID JOHNSON (NPI# 1215565155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215565155 |
| Entity Type | Individual |
| Full Name | MATTHEW DAVID JOHNSON |
| Credential | DO |
| Practice Address |
2115 Leiter Rd Miamisburg OH 45342-3600 |
| Practice Telephone | 9373846800 |
| Mailing Telephone | 9373846800 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
| 1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
| 1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
| 1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
| 1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
| 1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
| Street Address |
2115 LEITER RD |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013372 | David F Lim | Internal Medicine | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2005-06-14 |
| 1235755323 | Esteban Josue Arevalo Caro | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-06-24 |
| 1457976656 | Kishley Bhalla | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-06-12 |
| 1356970495 | Nathaniel Yohannes | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-04-01 |
| 1144858309 | Sarah Schafer | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-31 |
| 1164050530 | Vaama Patel | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-31 |
| 1871121566 | Marco James Comianos | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-30 |
| 1972131779 | Naveen Vuppuluri | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-29 |
| 1740818467 | Valentina Maksymyuk | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-29 |
| 1457989204 | Amanda Marie Olney | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1205320520 | Sierra D Iddings | Student in an Organized Health Care Education/Training Program | 10050 Innovation Dr Ste 200, Miamisburg, OH 45342-4935 | 2018-06-20 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1407308885 | John Tyler Nolan | Student in an Organized Health Care Education/Training Program | 7599 S Union Rd, Miamisburg, OH 45342-2139 | 2016-11-01 |
| 1043682784 | Coree Wheeler | Student in an Organized Health Care Education/Training Program | 416 Old Main St, Miamisburg, OH 45342-3105 | 2015-10-21 |
| 1235755323 | Esteban Josue Arevalo Caro | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-06-24 |
| 1457976656 | Kishley Bhalla | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-06-12 |
| 1356970495 | Nathaniel Yohannes | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-04-01 |
| 1144858309 | Sarah Schafer | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-31 |
| Find all providers in MIAMISBURG | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
Please comment or provide details below to improve the information on MATTHEW DAVID JOHNSON.
| 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.