DR. LANNY LEO JOHNSON (NPI# 1285854315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285854315 |
Entity Type | Individual |
Full Name | DR. LANNY LEO JOHNSON |
Credential | M.D. |
Practice Address |
4658 Chippewa Dr Okemos MI 48864-2060 |
Practice Telephone | 5173478130 |
Practice Fax Number | 5173478130 |
Mailing Telephone | 5173478130 |
Mailing Fax Number | 5173478130 |
Enumeration Date | 2007-04-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
4301024011 | MI | Allopathic & Osteopathic Physicians |
Street Address |
4658 CHIPPEWA DR |
City | OKEMOS |
State | MI |
Zip Code | 48864-2060 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
Find all providers in zip 48864 |
Taxonomy Code | 207XP3100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Pediatric Orthopaedic Surgery |
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689962342 | Christopher Minnock | Orthopaedic Surgery | 350 W Big Beaver Rd Dept Of, Troy, MI 48084-5246 | 2011-07-15 |
1215416961 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 802 W King St, Owosso, MI 48867-2100 | 2018-08-13 |
1578839338 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910-3495 | 2012-03-27 |
1972880920 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 3950 Hollywood Rd, Suite 240, Saint Joseph, MI 49085-9159 | 2011-11-04 |
1396024683 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 35 Michigan Ne, Grand Rapids, MI 49503 | 2011-08-04 |
1558661157 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2010-10-28 |
1477853075 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 550 Munson Ave, Traverse City, MI 49686-3580 | 2010-10-28 |
1760792808 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 1425 Michigan St Ne, Grand Rapids, MI 49503-2027 | 2010-10-07 |
1366608986 | Philip Daniel Nowicki | Orthopaedic Surgery | 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 | 2008-08-04 |
1962611277 | Lisa Dawn Maskill | Orthopaedic Surgery | 35 Michigan St Ne, Ste. 4150, Grand Rapids, MI 49503-2514 | 2007-05-22 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. LANNY LEO JOHNSON.
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.