DR. KENNETH E. JOHNSON (NPI# 1275686214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275686214 |
| Entity Type | Individual |
| Full Name | DR. KENNETH E. JOHNSON |
| Credential | M.D. |
| Practice Address |
2 Trap Falls Rd Suite 414 Shelton CT 06484-4616 |
| Mailing Address |
2 Trap Falls Road Suite 414 East Hartford CT 06108-7301 |
| Practice Telephone | 2039297353 |
| Practice Fax Number | 2039290756 |
| Mailing Telephone | 2039297353 |
| Mailing Fax Number | 2039290756 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2016-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 261461 | NY | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 0101248348 | VA | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 242318 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487144952 | Kenneth Cornell Johnson Jr. | Counselor | 91 Park Ave W, Mansfield, OH 44902-1630 | 2018-05-10 |
| 1043756414 | Kenneth Byron Johnson | Physical Therapist | 36 Lavelle Court, Unalaska, AK 99685 | 2017-01-10 |
| 1932565280 | Kenneth Johnson | Case Manager/Care Coordinator | 1138 N Dupre St, New Orleans, LA 70119-3204 | 2015-12-31 |
| 1003223298 | Kenneth Johnson | Specialist/Technologist | 6201 San Amaro Dr, Coral Gables, FL 33146-2407 | 2014-07-19 |
| 1831511807 | Kenneth Larry Johnson I | Local Education Agency (LEA) | 216 Ne 19th Ave, Pompano Beach, FL 33060-6743 | 2014-01-10 |
| 1700222544 | Kenneth Paul Johnson | Pharmacist | 506 Augsburg Ave, Bismarck, ND 58504-7005 | 2013-05-20 |
| 1528302635 | Kenneth James Johnson | Pharmacist | 8145 Rhode Island Cir, 1, Bloomington, MN 55438-1152 | 2012-11-15 |
| 1760750194 | Kenneth Casper Johnson | Obstetrics & Gynecology | 3915 Skyline Rd, Carlsbad, CA 92008-2746 | 2011-12-13 |
| 1225305931 | Kenneth Lorenzo Johnson | Psychologist | 7605 W 7 Mile Rd, Detroit, MI 48221-2163 | 2011-11-23 |
| 1528371408 | Kenneth Johnson | Physical Therapist | 10753 Falls Rd Ste 235, Lutherville, MD 21093-4597 | 2010-07-20 |
| Street Address |
2 TRAP FALLS RD SUITE 414 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962406363 | Michael J Safian | Dentist | 2 Trap Falls Rd, Ste 103, Shelton, CT 06484-4616 | 2005-06-13 |
| 1619535457 | Alyssa Gg Kassimis | Counselor | 2 Trap Falls Rd, Shelton, CT 06484-4616 | 2019-06-05 |
| 1548717341 | Michael Morrison | Nurse Anesthetist, Certified Registered | 2 Trap Falls Rd, Suite 414, Shelton, CT 06484-4616 | 2016-09-09 |
| 1609240571 | Andriy Palamar | Nurse Anesthetist, Certified Registered | 2 Trap Falls Rd, Suite 414, Shelton, CT 06484-4616 | 2015-11-16 |
| 1922470269 | Izabela Smith | Registered Nurse | 2 Trap Falls Rd, Shelton, CT 06484-4616 | 2015-10-27 |
| 1477955334 | Bradley Hamilton | Nurse Anesthetist, Certified Registered | 2 Trap Falls Rd, Suite 414, Shelton, CT 06484-4616 | 2014-09-23 |
| 1902220031 | Kathleen Lovanio | Nurse Practitioner | 2 Trap Falls Rd, Suite 105, Shelton, CT 06484-4616 | 2014-02-10 |
| 1851720700 | Luis Felipe Solis | Licensed Practical Nurse | 2 Trap Falls Rd, Suite 414, Shelton, CT 06484-7623 | 2013-11-01 |
| 1740554195 | John Dasilva | Anesthesiology | 2 Trap Falls Rd, Suite 414, Shelton, CT 06484-4616 | 2012-03-02 |
| 1467725515 | Robin Biondo | Physical Therapy Assistant | 2 Trap Falls Rd, Suite 404, Shelton, CT 06484-4616 | 2012-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962646067 | Terry Myron Horbal | Anesthesiology | 555 Bridgeport Ave Fl 2, Shelton, CT 06484-4749 | 2009-04-21 |
| 1801042551 | Sukhpal Singh Mangat | Anesthesiology | 100 Parrott Dr Unit 1012, Shelton, CT 06484-4791 | 2008-08-13 |
| 1245293158 | David Matthew Van Ess | Anesthesiology | 100 Parrott Drive, Unit 1601, Shelton, CT 06484-7701 | 2006-04-11 |
| 1659359198 | Thomas Junichiro Yasuda | Anesthesiology | 2 Trap Falls Rd Ste 200, Shelton, CT 06484-4616 | 2006-01-05 |
| 1528472859 | Carla Maffeo-mitchell | Anesthesiology | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7621 | 2014-06-14 |
| 1023351707 | Jason Michael Altman | Anesthesiology | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7621 | 2013-04-01 |
| 1740554195 | John Dasilva | Anesthesiology | 2 Trap Falls Rd, Suite 414, Shelton, CT 06484-4616 | 2012-03-02 |
| 1407173479 | Rengarajan Janakiraman | Anesthesiology | 2 Trap Falls Rd, Ste 414, Shelton, CT 06484-7623 | 2010-04-29 |
| 1366768905 | Jacqueline S Lagoy | Anesthesiology | 2 Trap Falls Rd, Suite 414, Shelton, CT 06484-4616 | 2010-04-07 |
| 1184825234 | David Y. Lo | Anesthesiology | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7621 | 2007-05-29 |
| Find all providers in SHELTON | ||||
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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.