DR. WARREN CHARLES JOHNSON III (NPI# 1245232123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245232123 |
| Entity Type | Individual |
| Full Name | DR. WARREN CHARLES JOHNSON III |
| Credential | M.D. |
| Practice Address |
300 Medical Pavilion Dr Suite 150 Raeford NC 28376-0019 |
| Mailing Address |
1638 Owen Dr Attn: Managed Care Planning Dept Fayetteville NC 28304-3424 |
| Practice Telephone | 9109048025 |
| Practice Fax Number | 9106159751 |
| Mailing Telephone | 9109048025 |
| Mailing Fax Number | 9106159751 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2016-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2014-02019 | NC | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 2014-02019 | NC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2000167444 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 205099906 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881230084 | Warren Johnson | Technician | 1932 Linda Ln, Jackson, MS 39213-4447 | 2019-11-22 |
| 1265987010 | Warren Johnson Jr. | Counselor | 130 Maxie St, Grambling, LA 71245-3036 | 2016-08-22 |
| 1538595103 | Warren Evan Johnson | General Practice | 16013 Purcellville Rd, Purcellville, VA 20132-2801 | 2013-09-16 |
| 1558521682 | Warren Philip Johnson | Emergency Medicine | Weed Army Community Hospital Bldg 166, Fort Irwin, CA 92310 | 2008-06-12 |
| 1942398227 | Warren D Johnson | Internal Medicine | International Health Care Service, 440 East 69th Street, New York, NY 10021 | 2006-10-11 |
| 1154424588 | Warren C. Johnson | Dentist | 2424 Puritan St, Detroit, MI 48238-1490 | 2006-09-07 |
| 1417050832 | Warren Dwight Johnson | Dentist | 422 Heritage Place, Faribault, MN 55021 | 2006-09-07 |
| 1750390142 | Warren Johnson | Podiatrist | 6305 Elysian Fields Ave, 204, New Orleans, LA 70122-4245 | 2006-08-05 |
| 1457381279 | Warren Thomas Johnson | Family Medicine | 70 S 20th Ave, Suite H, Brighton, CO 80601-3703 | 2006-07-04 |
| 1225000540 | Warren S Johnson | Optometrist | 428 Perkins Ext, Memphis, TN 38117 | 2006-02-02 |
| Street Address |
300 MEDICAL PAVILION DR SUITE 150 |
| City | RAEFORD |
| State | NC |
| Zip Code | 28376-0019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417297334 | Raquel Alexis Mccann | Physician Assistant | 300 Medical Pavilion Dr, Raeford, NC 28376-0019 | 2013-03-01 |
| 1114277035 | Hoke Healthcare, LLC | Clinic/Center | 300 Medical Pavilion Dr, Suite 250, Raeford, NC 28376-0018 | 2012-09-18 |
| 1730439654 | Hoke Healthcare, LLC | Clinic/Center | 300 Medical Pavilion Dr, Suite 150, Raeford, NC 28376-0030 | 2012-09-18 |
| 1932458981 | Hoke Healthcare LLC | Pharmacy | 300 Medical Pavilion Dr, Suite 100, Raeford, NC 28376-9137 | 2012-09-06 |
| 1972861045 | Jennifer Ann Tiffany | Nurse Practitioner | 300 Medical Pavilion Dr, Ste. 250, Raeford, NC 28376-9137 | 2012-04-26 |
| 1285839803 | Kimberly Michelle Mcgill | Obstetrics & Gynecology | 300 Medical Pavilion Dr, Raeford, NC 28376-0019 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
| 1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
| 1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
| 1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| Find all providers in zip 28376 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639248925 | Jose Ornum Buenaseda | Pediatrics | 4005 Fayetteville Rd, Raeford, NC 28376-8058 | 2006-11-08 |
| 1144284548 | Children Health of Carolina Dba Raeford Pediatrics | Pediatrics | 206 W Southern Ave, Raeford, NC 28376-3272 | 2006-04-13 |
| 1235439613 | Kids First Pediatrics of Raeford, PC | Pediatrics | 4005 Fayetteville Rd, Raeford, NC 28376-8058 | 2010-11-01 |
| 1689728248 | Thomas Durr | Pediatrics | 683 E Palmer Rd, Raeford, NC 28376-6648 | 2007-01-22 |
| 1609945997 | Leamor De Leon Buenaseda | Pediatrics | 4005 Fayetteville Rd, Raeford, NC 28376-8058 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1689201568 | Mark Selna | Pediatrics | 13 Weybridge Pl, Chapel Hill, NC 27517-8938 | 2020-03-23 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
| 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.