DR. JUANTINA MECHELLE JOHNSON (NPI# 1285683342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285683342 |
| Entity Type | Individual |
| Full Name | DR. JUANTINA MECHELLE JOHNSON |
| Credential | M.D. |
| Practice Address |
210 Hospital Cir Choctaw MS 39350-6781 |
| Practice Telephone | 6013896302 |
| Practice Fax Number | 6016637924 |
| Mailing Telephone | 6013896302 |
| Mailing Fax Number | 6016637924 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2014-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 21445 | MS | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD026588 | LA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 21445 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01504386 | 05 |
| Street Address |
210 HOSPITAL CIR |
| City | CHOCTAW |
| State | MS |
| Zip Code | 39350-6781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321354 | Ethel S Beasley | Internal Medicine | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2005-07-28 |
| 1265999247 | Kimberly Lynn Eldridge | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2019-02-26 |
| 1508322421 | Tiah Rae York | Registered Nurse | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2019-02-15 |
| 1194280883 | Karen Louise Miller | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2019-02-06 |
| 1669957833 | Annette Marie Lewis | Social Worker | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-10-03 |
| 1124507223 | Lindsey E Wilson | Dietitian, Registered | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-08-09 |
| 1538648639 | Natalie A Byram | Dietitian, Registered | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-08-09 |
| 1982183083 | Allison Boatner | Dietitian, Registered | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-08-09 |
| 1255843033 | Shannon Victoria Johnson | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2017-11-01 |
| 1780105239 | Anna Clare Saxon | Dentist | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2017-07-05 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1548817133 | Airpark Family Dentistry | Dentist | 1060 Holland Avenue, Philadelphia, MS 39350 | 2019-08-20 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1144759580 | Mapp Home Care Services | In Home Supportive Care | 41 Eastover Dr, Philadelphia, MS 39350 | 2017-06-08 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1114339405 | Bernard Oneal | Adult Companion | 10090 Rd 0022, None, Philadelphia, MS 39350 | 2014-05-21 |
| 1417213323 | Region Ten Commision On Mental Health | Clinic/Center | 1011 Posey Avenue, Philadelphia, MS 39350 | 2012-04-04 |
| 1851427132 | Performance Therapy LLC | Physical Therapist | Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 | 2007-02-23 |
| 1922161900 | Ernest Barton Cross | Audiologist | 1120 East Main Street, Suite 4, Philadelphia, MS 39350 | 2006-12-19 |
| 1649348129 | Augustus P Soriano | Family Medicine | 517 Center Avenue, Philadelphia, MS 39350 | 2006-12-01 |
| 1982777983 | Bill G Molpus | Dentist | 247 Byrd Ave, Philadelphia, MS 39350 | 2006-11-16 |
| Find all providers in zip 39350 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346441896 | Choctaw Wellness Enterprises, LLC | Family Medicine | 15803 Ne 23rd St, Choctaw, OK 73020-8428 | 2007-05-31 |
| 1689768285 | Gregory P. Kelley D.o. Inc. | Family Medicine | 13190 Ne 23rd Street, Choctaw, OK 73020 | 2006-10-03 |
| 1629009931 | Larry G Mobly | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2006-07-05 |
| 1043256019 | Gregory Paul Kelley | Family Medicine | 13190 Ne 23rd St, Choctaw, OK 73020-8621 | 2006-06-20 |
| 1053311548 | Cary Lee Carpenter | Family Medicine | 15809 Ne 23rd St, Choctaw, OK 73020-8428 | 2005-07-26 |
| 1174044796 | Oluwakemi Oluwafunmilota Osholake | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2017-07-05 |
| 1144639840 | Aubrey E Williamson | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2014-08-06 |
| 1962840504 | Will D Heise | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2013-06-05 |
| 1063736007 | Yi Chen | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2010-03-19 |
| 1457540015 | Ssm Health Care of Oklahoma Inc | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2007-10-19 |
| Find all providers in CHOCTAW | ||||
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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.