DR. THEODORE MICHAEL JOHNSON II (NPI# 1265494983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265494983 |
| Entity Type | Individual |
| Full Name | DR. THEODORE MICHAEL JOHNSON II |
| Other Name | DR. TED JOHNSON |
| Credential | M.D. |
| Practice Address |
1365 Clifton Rd Ne Atlanta Va Medical Center, 508/11b Atlanta GA 30322-1013 |
| Practice Telephone | 4047783401 |
| Mailing Telephone | 4047783401 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2012-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
049656 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528300191 | Theodore Herbert Johnson | General Practice | 141 S Mountain Dr, New Britain, CT 06052-1511 | 2013-03-21 |
| 1396983540 | Theodore Robert Johnson | Registered Nurse | 15315 W Hearn Rd, Surprise, AZ 85379-7068 | 2009-01-27 |
| 1255453759 | Theodore Samuel Johnson | Pediatrics | 1120 Fifteenth Street, Cn-4141a, Augusta, GA 30912 | 2007-04-04 |
| 1982722625 | Theodore J Johnson | Specialist | 2132 44th Ave Sw, Seattle, WA 98116-2102 | 2007-03-27 |
| 1972661494 | Theodore Coatany Johnson | Dentist | 4855 Ward Rd, Suite 700, Wheat Ridge, CO 80033 | 2006-12-05 |
| 1326099227 | Theodore Stanley Johnson | Anesthesiology | Dept. # 1029, Denver, CO 80263-0001 | 2006-05-15 |
| 1144606724 | Theodore Johnson | Behavioral Analyst | 2300 W Sahara Ave, Suite 800, Las Vegas, NV 89102-4352 | 2015-08-05 |
| 1417000282 | Theodore Leroy Johnson | Audiologist | 177 Franklin Corner Rd, Ste. 1b, Lawrenceville, NJ 08648-2548 | 2007-01-18 |
| 1356446777 | Theodore Martin Johnson | Psychologist | 500 Lilly Rd Ne, #205, Olympia, WA 98506-5195 | 2006-09-13 |
| 1306953591 | Theodore Lybarger Johnson | Dentist | 555 B Street, Springfield, OR 97477 | 2006-08-24 |
| Street Address |
1365 CLIFTON RD NE ATLANTA VA MEDICAL CENTER, 508/11B |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022637 | Richard Duszak Jr. | Radiology | 1365 Clifton Rd Ne, Emory University Department of Radiology, Atlanta, GA 30322-1013 | 2005-06-13 |
| 1891319091 | Kayla Sondria Freeman | Registered Nurse | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-06-03 |
| 1548881576 | Rachelle Leona Rouse | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-04-30 |
| 1982233227 | Kayla Anne Nichols | Pharmacist | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-04-08 |
| 1326675380 | Tankeia Tanye' Warren | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-03-26 |
| 1407488687 | Bethany Joan Hanscom | Physician Assistant | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-02-06 |
| 1518505577 | Juanjuan Wu | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-12-20 |
| 1942847587 | Nour Majed Moukalled | Internal Medicine | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-12-02 |
| 1528604816 | Tram Bao Vu | Physician Assistant | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-11-21 |
| 1083266845 | Desiree Morgan Rogers | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1710545553 | Palcare Health LLC | Internal Medicine | 1315 Merry Ln Ne, Atlanta, GA 30329-3903 | 2019-06-05 |
| 1518334200 | Miguel E Stubbs M D P C | Internal Medicine | 230 Beaver Falls Pl Sw, Atlanta, GA 30331-8326 | 2015-08-28 |
| 1952557977 | Diego Hernando Remolina | Internal Medicine | 49 Jesse Hill Jr Dr Se Rm 471, Atlanta, GA 30303 | 2008-08-11 |
| 1437261617 | R. Elliott Jackson Geriatrics,llc | Internal Medicine | 2650 Weigelia Rd Ne, Atlanta, GA 30345-3969 | 2006-08-31 |
| 1649382060 | Mounir Darradji | Internal Medicine | 1019 Winding Ridge Ct, Atlanta, GA 30338-3949 | 2006-08-31 |
| 1053345025 | Cooper Medical Associates LLC | Internal Medicine | 448 Ralph David Abernathy Blvd Sw, #2, Atlanta, GA 30312-2404 | 2006-07-10 |
| 1760425623 | Kieran Alexander Cooper | Internal Medicine | 448 Ralph David Abernathy Swblvd Sw2, Atlanta, GA 30312-2404 | 2006-06-14 |
| 1437141389 | Abraham A Oyewo | Internal Medicine | 80 Jessie Hill, Grady Health System, Atlanta, GA 30303 | 2005-08-17 |
| 1881064467 | Geps Physician Group of Georgia PC | Internal Medicine | 2850 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2015-09-25 |
| 1912387259 | Jorge Isaac Pena Garcia | Internal Medicine | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2015-06-02 |
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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.