DAVID GRANT JOHNSON (NPI# 1235131848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235131848 |
| Entity Type | Individual |
| Full Name | DAVID GRANT JOHNSON |
| Credential | MD |
| Practice Address |
2131 E State St Athens OH 45701-2138 |
| Mailing Address |
90 Jackson Pike Gallipolis OH 45631-1560 |
| Practice Telephone | 7405893100 |
| Practice Fax Number | 7405893123 |
| Mailing Telephone | 7405893100 |
| Mailing Fax Number | 7405893123 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 35.057127 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 12479 | WV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 35.057127 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0597813 | 05 | |
| OH | RAILROAD MEDICARE | P00806992 | 01 |
| OH | OHIO MEDICAID UNISON | 000000277616 | 01 |
| OH | OHIO MEDICAID MOLINA | 0597813 | 01 |
| WV | 0049793000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804044 | David Johnson | Home Health Aide | 4436 Davis Grove Blvd, Olive Branch, MS 38654-5631 | 2020-09-04 |
| 1952803314 | David M Johnson | Specialist | 1345 Nw 15th St, Lincoln City, OR 97367-3327 | 2018-03-01 |
| 1932615333 | David Johnson | Hearing Instrument Specialist | 905 N Cass St, Wabash, IN 46992-1043 | 2017-12-20 |
| 1316457211 | David Johnson | Specialist/Technologist | 14354 Mission Way, Broomfield, CO 80023-4049 | 2017-10-05 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1366812141 | David Clayton Johnson | Occupational Therapist | 201 Ridgecrest Dr, Chapel Hill, NC 27514-2104 | 2015-10-06 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
| 1710377585 | David Jackson Johnson | Counselor | 862 S Main St Ste 2, Brigham City, UT 84302-3300 | 2015-01-30 |
| 1376892828 | David Berek Johnson | Chiropractor | 7559 Kayne Blvd, Columbus, GA 31909-2521 | 2012-08-30 |
| Street Address |
2131 E STATE ST |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192020 | Catherine A Coats | Obstetrics & Gynecology | 2131 E State St, Athens, OH 45701-2138 | 2005-05-23 |
| 1902412422 | Casey Puckett | Nurse Practitioner | 2131 E State St, Athens, OH 45701-2138 | 2020-09-21 |
| 1770108862 | Jason Andrew Thompson | Nurse Anesthetist, Certified Registered | 2131 E State St, Athens, OH 45701-2138 | 2020-06-15 |
| 1255983995 | Gabriela Prieto | Physician Assistant | 2131 E State St, Athens, OH 45701-2138 | 2019-07-12 |
| 1053978007 | Megan R Radcliff | Nurse Practitioner | 2131 E State St, Athens, OH 45701 | 2019-05-24 |
| 1801387154 | Kyle Klein | Physical Therapist | 2131 E State St, Athens, OH 45701-2138 | 2018-05-22 |
| 1477052066 | Rosanna Dillard | Nurse Practitioner | 2131 E State St, Athens, OH 45701-2138 | 2018-02-08 |
| 1073961678 | Tiffany R. Boggs | Nurse Practitioner | 2131 E State St, Athens, OH 45701-2138 | 2016-05-25 |
| 1669852604 | Megan Weiss | Nurse Anesthetist, Certified Registered | 2131 E State St, Athens, OH 45701-2138 | 2015-06-04 |
| 1609279363 | Bobbi J. Lundy | Nurse Practitioner | 2131 E State St, Athens, OH 45701-2138 | 2014-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346426723 | Paul Buczynsky | Emergency Medicine | 1571 Spartan Ln, Athens, GA 30606-5386 | 2008-01-15 |
| 1407964356 | Sarvotham Kini | Emergency Medicine | 108 Spear Rd, Suite 309, Athens, GA 30602-0001 | 2006-08-29 |
| 1104933043 | Karl Harnish | Emergency Medicine | 39 Briarwood Dr, Athens, OH 45701-1302 | 2006-08-24 |
| 1003854738 | Brent Alan Beaird | Emergency Medicine | 1061 Dowdy Rd, Suite 100, Athens, GA 30606-5700 | 2006-06-03 |
| 1962459941 | Jacqueline L. Heiser | Emergency Medicine | 265 W Union St Ste A, Athens, OH 45701-2313 | 2006-05-27 |
| 1205882834 | David Ryan Childress | Emergency Medicine | 711 Cook Dr, Suite 100, Athens, TN 37303-3486 | 2006-05-25 |
| 1568412146 | Perry R Hearn | Emergency Medicine | 775 Sunset Dr, Athens, GA 30606 | 2006-05-12 |
| 1700845195 | Alexander Paul Keller Iv | Emergency Medicine | 105 Trinity Pl, Athens, GA 30607-2112 | 2006-03-23 |
| 1063490415 | Cecil G Pinholster | Emergency Medicine | 485 Highway 29 N, Athens, GA 30601-5583 | 2006-01-05 |
| 1447232012 | Aimee T. Martin | Emergency Medicine | 55 Carlton St, Athens, GA 30602-1503 | 2005-11-18 |
| Find all providers in ATHENS | ||||
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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.