ANDREW D. JOHNSON, O.D., P.C. (NPI# 1235429150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235429150 |
| Entity Type | Organization |
| Organization Name | ANDREW D. JOHNSON, O.D., P.C. |
| Practice Address |
4500 N Main St Roswell NM 88201-0305 |
| Practice Telephone | 5756252020 |
| Practice Fax Number | 5056227816 |
| Mailing Telephone | 5756252020 |
| Mailing Fax Number | 5056227816 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |
| Authorized Official Name | DR. ANDREW DANIEL JOHNSON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5756252020 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | NM0544 | NM | Managed Care Organizations |
| Street Address |
4500 N MAIN ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-0305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063459147 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 4500 N Main St, Roswell, NM 88201-0305 | 2006-05-31 |
| 1104461862 | Brenda Denise Carlile | Pharmacist | 4500 N Main St, Roswell, NM 88201-0305 | 2019-11-16 |
| 1013480136 | Ann Marie Watkins | Pharmacist | 4500 N Main St, Roswell, NM 88201-0305 | 2019-01-11 |
| 1306357181 | Kwadwo Sarfo Kantanka | Pharmacist | 4500 N Main St, Roswell, NM 88201-0305 | 2017-10-19 |
| 1952852931 | Jerri R Citty | Pharmacist | 4500 N Main St, Roswell, NM 88201-0305 | 2016-10-14 |
| 1770971095 | Gelareh Karimi | Pharmacist | 4500 N Main St, Roswell, NM 88201-0305 | 2015-01-09 |
| 1760894315 | Adrean Flores | Pharmacist | 4500 N Main St, Roswell, NM 88201-0305 | 2014-05-29 |
| 1053691550 | Andrew Torres | Pharmacist | 4500 N Main St, Roswell, NM 88201-0305 | 2011-08-28 |
| 1538392956 | Debra Lynn Legner | Pharmacist | 4500 N Main St, Roswell, NM 88201-0305 | 2009-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124425749 | Cedrick Noel, PC | Point of Service | 45 W Crossville Rd, Suite 503, Roswell, GA 30075-2964 | 2014-11-25 |
| 1851712640 | Restoration Counseling of Atlanta, LLC | Point of Service | 595 Colonial Park Dr Ste 102, Roswell, GA 30075-3760 | 2013-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346609831 | Carole A. Mckelvey, Lpcc, Ncc, Ma | Point of Service | 3107 11th St Nw, Albuquerque, NM 87107-1118 | 2016-02-12 |
| 1912364902 | United Remodeling Professionals | Point of Service | 2552 South Highway 41, Moriarty, NM 87035 | 2016-01-21 |
| 1245622356 | Star Communication Disorders | Point of Service | 101 Burch Pl, Clovis, NM 88101-2920 | 2015-02-26 |
| 1497007132 | Mccurdy Charter School | Point of Service | 341 S. Mccurdy Rd., Espanola, NM 87532 | 2012-10-04 |
| 1124391768 | Rivers In The Desert Eye Clinic | Point of Service | 306 S Lake St, Farmington, NM 87401-5620 | 2012-02-13 |
| 1851556583 | New Choice, Inc | Point of Service | 1209b Pecos St, Las Vegas, NM 87701-4558 | 2008-07-22 |
| 1245383306 | Greenlee & Reid, Inc | Point of Service | 4601 E Main St, Ste. 120, Farmington, NM 87402-8667 | 2007-01-19 |
| 1316098346 | Therapeutic Living Services, Inc. | Point of Service | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2007-01-16 |
| 1225692635 | David L. Farley LLC | Point of Service | 717 Encino Pl Ne Ste 2, Albuquerque, NM 87102-2622 | 2019-05-01 |
| 1992165419 | First Choice Community Health | Point of Service | 2001 El Centro Familiar Blvd Sw, Albuquerque, NM 87105-4592 | 2016-02-25 |
| Find all providers with the same taxonomy | ||||
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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.