CRAIG JOHNSON (NPI# 1306021753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306021753 |
| Entity Type | Individual |
| Full Name | CRAIG JOHNSON |
| Credential | PA-C |
| Practice Address |
10344 Old Ocean City Blvd Suite B Berlin MD 21811 |
| Mailing Address |
10026 Old Ocean City Blvd Building One Berlin MD 21811 |
| Practice Telephone | 4106410430 |
| Practice Fax Number | 4106413871 |
| Mailing Telephone | 4106410430 |
| Mailing Fax Number | 4106413871 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2011-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0001907 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154708 | Craig Matthew Johnson | Contractor | 8103 Upper 129th Ct, Apple Valley, MN 55124-6283 | 2020-08-10 |
| 1881953453 | Craig Johnson | Durable Medical Equipment & Medical Supplies | 5102 Canterbury Dr, Cypress, CA 90630-3648 | 2012-05-16 |
| 1811199755 | Craig Michael Johnson | Dentist | 916 Ellison Ave, Louisville, KY 40204-1902 | 2007-06-04 |
| 1184751349 | Craig Joel Johnson | Psychiatry & Neurology | 214 Elkhorn Rd, Williams Bay, WI 53191-9514 | 2007-02-27 |
| 1750423778 | Craig Arlin Johnson | Dentist | 17 Suffolk Ave, Sierra Madre, CA 91024-2526 | 2007-02-13 |
| 1851465074 | Craig Brian Johnson | Chiropractor | 1880 Lancaster Dr Ne Ste 127, Salem, OR 97305-1069 | 2006-11-20 |
| 1629164603 | Craig T Johnson | Dentist | 1617 W Bogart Road, Sandusky, OH 44870 | 2006-10-05 |
| 1588764856 | Craig Brian Johnson | Dentist | 25579 Church St, Nisswa, MN 56468 | 2006-09-25 |
| 1629084629 | Craig M. Johnson | Chiropractor | 1107 E Chapman Ave Ste 100, Orange, CA 92866-2129 | 2006-07-31 |
| 1225093875 | Craig W Johnson | Internal Medicine | 134 N Breiel Blvd, Middletown, OH 45042 | 2006-04-18 |
| Street Address |
10344 OLD OCEAN CITY BLVD SUITE B |
| City | BERLIN |
| State | MD |
| Zip Code | 21811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982704342 | Peter J Costantini | Internal Medicine | 10344 Old Ocean City Blvd, Suite #2, Berlin, MD 21811-1162 | 2006-09-25 |
| 1629482989 | Medhat A. El-sabawy | Physician Assistant | 10344 Old Ocean City Blvd, Berlin, MD 21811-1162 | 2014-06-15 |
| 1699946640 | Karen T Montella | Physician Assistant | 10344 Old Ocean City Blvd, Suite 1, Berlin, MD 21811-1162 | 2008-03-18 |
| 1528241171 | Jerrold S. Canakis, Md Pa | Internal Medicine | 10344 Old Ocean City Blvd, Blvd #1, Berlin, MD 21811-1162 | 2007-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1851532493 | Juliana S Rossi | Physician Assistant | 11103 Cathage Rd, Berlin, MD 21811-2114 | 2009-03-11 |
| 1861649642 | Mark Edwin Williams | Physician Assistant | 9714 Healthway Dr # Drl, Berlin, MD 21811-1154 | 2008-08-22 |
| 1790709459 | Amber M Trochinski | Physician Assistant | 225 Memorial Dr Ste 1300, Berlin, WI 54923-1243 | 2006-07-27 |
| 1285244491 | Isabelle Catherine Clauss | Physician Assistant | 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009-9263 | 2020-08-03 |
| 1336638287 | Meredith Ann Mcnelis | Physician Assistant | 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009 | 2018-05-07 |
| 1629482989 | Medhat A. El-sabawy | Physician Assistant | 10344 Old Ocean City Blvd, Berlin, MD 21811-1162 | 2014-06-15 |
| 1336448414 | Holly B Ramsey | Physician Assistant | 133 Pleasant St, Berlin, NH 03570-2006 | 2011-03-15 |
| 1235449810 | Kelly A Costa | Physician Assistant | 175 Cross Keys Rd, Berlin, NJ 08009-9263 | 2010-10-15 |
| 1457670978 | Tracy R. Helmbrecht | Physician Assistant | 225 Memorial Dr, Ste 2000, Berlin, WI 54923-1243 | 2010-05-24 |
| Find all providers in BERLIN | ||||
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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.