JAMES W JOHNSON JR. (NPI# 1295753762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295753762 |
| Entity Type | Individual |
| Full Name | JAMES W JOHNSON JR. |
| Credential | M.D. |
| Practice Address |
5180 Park Ave Suite 250 Memphis TN 38119 |
| Mailing Address |
Po Box 772193 Memphis TN 38177 |
| Practice Telephone | 9017533766 |
| Practice Fax Number | 9017591184 |
| Mailing Telephone | 9017619901 |
| Mailing Fax Number | 9017619675 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 17134 | MS | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | MD0000011485 | TN | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17134 | MS | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD0000011485 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TLC | 00000027474 | 01 | |
| MS | 09015804 | 05 | |
| CIGNA | 2621395 | 01 | |
| BCBS OF TENNNESSEE | 4073290 | 01 | |
| RR MEDICARE | P00180320 | 01 | |
| MS | 00124492 | 05 | |
| TN | 3888243 | 05 | |
| BETTER HEALTH PLAN | 000000145000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652769 | James Johnson | Student in an Organized Health Care Education/Training Program | 30856 Molly B Rd, Lewes, DE 19958-3855 | 2020-09-02 |
| 1518526664 | James Wesley Johnson Jr. | Counselor | 415 N Mckinley St Ste 520, Little Rock, AR 72205-3175 | 2019-06-12 |
| 1912422767 | James Daniel Johnson | Speech-Language Pathologist | 2201 N 50th St, Fort Smith, AR 72904-5719 | 2017-08-12 |
| 1184146557 | James William Johnson | Licensed Practical Nurse | 25 Beekman Dr, Carmel, NY 10512 | 2017-07-07 |
| 1255790028 | James G Johnson | Physical Therapy Assistant | 1361 Nj-72, Manahawkin, NJ 08050 | 2016-02-22 |
| 1578900445 | James William Johnson | Pharmacist | Dept Pharmacy, 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-05-31 |
| 1518301092 | James Johnson | Counselor | 2816 Nw 27th St, Oklahoma City, OK 73107-2107 | 2013-04-26 |
| 1548513807 | James Allen Johnson Jr. | Counselor | 10604 E 38th St, Yuma, AZ 85365-6886 | 2012-10-23 |
| 1891045043 | James Allen Johnson | Pediatrics | 4350 Wendell Ln, Eugene, OR 97405-7038 | 2012-09-14 |
| 1588919161 | James Clifford Johnson | Dentist | 706 W Wellington Ave, Apt. #2, Chicago, IL 60657-5352 | 2012-07-19 |
| Street Address |
5180 PARK AVE SUITE 250 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023088523 | Dentalworks, Dr. Dietz & Associates (park Avenue), P.C. | Dentist | 5180 Park Ave, Suite 210, Memphis, TN 38119-3530 | 2006-01-25 |
| 1508216466 | Medical Acupuncture Research Institute of America, Inc | Psychiatry & Neurology | 5180 Park Ave, Suite 175, Memphis, TN 38119-3521 | 2016-06-21 |
| 1730476268 | Quinton C. Robinson IIi, D.d.s., M.s., Pllc | Dentist | 5180 Park Ave, Suite 260, Memphis, TN 38119-3521 | 2011-07-05 |
| 1407094121 | Park Station Dental Group | Dentist | 5180 Park Ave, Suite 310, Memphis, TN 38119-3521 | 2009-02-03 |
| 1114122140 | Marion D Bailey | Dentist | 5180 Park Ave, 310, Memphis, TN 38119-3521 | 2007-06-19 |
| 1689795429 | Lee Michael Thomas | Chiropractor | 5180 Park Ave, Suite 130, Memphis, TN 38119-3521 | 2007-04-02 |
| 1457485492 | Edward Maurice Mack | Dentist | 5180 Park Ave, Suite 300, Memphis, TN 38119-3521 | 2007-03-14 |
| 1528125911 | Wellness First Inc | Non-Pharmacy Dispensing Site | 5180 Park Ave, Suite 250, Memphis, TN 38119 | 2007-01-03 |
| 1477621837 | Dierdre D. Sturgis | Dentist | 5180 Park Ave, Suite 260, Memphis, TN 38119-3521 | 2006-12-01 |
| 1275617912 | John W Landrigan Jr. | Specialist | 5180 Park Ave, Suite 200, Memphis, TN 38119-3521 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942609045 | Midsouth Neuropathy Treatment Center | General Practice | 1052 Brookfield Rd, Suite 101, Memphis, TN 38119-3860 | 2014-08-14 |
| 1528488699 | Sheg Oluwaseun Aranmolate | General Practice | 1926 Foster Ave, Memphis, TN 38114-2003 | 2014-04-16 |
| 1538588827 | Chs Tennessee Medical, P.C. | General Practice | 4740 Burbank Rd, Memphis, TN 38118-6301 | 2014-04-15 |
| 1629493424 | Maximum Health and Wellness LLC | General Practice | 6094 Apple Tree Dr, Suite 6, Memphis, TN 38115-0308 | 2014-03-03 |
| 1497064653 | Wellness Evaluation Services, Inc | General Practice | 1061 W Rex Rd, Memphis, TN 38119-3819 | 2010-10-05 |
| 1861719445 | Total Heatlh Care | General Practice | 4299 Elvis Presley B;vd., Memphis, TN 38116-6435 | 2010-04-22 |
| 1508038910 | F Chin, Inc | General Practice | 5347 Dunnellon Ave, Memphis, TN 38134-5305 | 2008-03-25 |
| 1295863488 | Daniel P Marshall | General Practice | 515 N Highland St, Memphis, TN 38122-4572 | 2007-03-01 |
| 1891842696 | John Goodfred | General Practice | 3965 S Mendenhall Rd Ste 6, Memphis, TN 38115-5914 | 2007-01-04 |
| 1013004324 | Mark L Reed | General Practice | 3789 Covington Pike, Memphis, TN 38135-2279 | 2006-10-06 |
| Find all providers in MEMPHIS | ||||
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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.