AMMON JOHNSON (NPI# 1306201868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306201868 |
| Entity Type | Individual |
| Full Name | AMMON JOHNSON |
| Practice Address |
6831 S Dante Ave Chicago IL 60637-4830 |
| Practice Telephone | 3123209475 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers |
| Street Address |
6831 S DANTE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-4830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700242971 | Advance Surgical Instruments Inc | Durable Medical Equipment & Medical Supplies | 3350 S Kedzie Ave, Suite 1 B, Chicago, IL 60623-5114 | 2016-01-04 |
| 1619332053 | Pharmascript Inc | Durable Medical Equipment & Medical Supplies | 5437 N Broadway St, Chicago, IL 60640 | 2015-12-30 |
| 1164775664 | Activstyle, Inc | Durable Medical Equipment & Medical Supplies | 9245 S Ashland Ave, Chicago, IL 60620-5051 | 2012-10-22 |
| 1386860864 | St Agnes Medical Equipment Co Inc | Durable Medical Equipment & Medical Supplies | 2540 S Wabash Ave, Chicago, IL 60616-2309 | 2007-04-17 |
| 1740351972 | Jackson Corp | Durable Medical Equipment & Medical Supplies | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2006-11-10 |
| 1972673234 | Gem Healthcare Management | Durable Medical Equipment & Medical Supplies | 2607 W Glenlake Ave, Suite 101, Chicago, IL 60659-2711 | 2006-11-08 |
| 1386692507 | Medtak Ltd | Durable Medical Equipment & Medical Supplies | 6464 N Central Ave, Chicago, IL 60646-2935 | 2006-05-04 |
| 1407847882 | Activstyle, Inc | Durable Medical Equipment & Medical Supplies | 2139 W 95th St, Chicago, IL 60643-1018 | 2005-11-03 |
| 1063402345 | Del Kar Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 3726 W 16th St, Chicago, IL 60623-2026 | 2005-10-26 |
| 1033285176 | Brady's Pharmacy | Durable Medical Equipment & Medical Supplies | 3237 W 111th St, Chicago, IL 60655-2730 | 2006-11-28 |
| Find all providers in CHICAGO | ||||
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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.