KIMBERLY DALE JOHNSON (NPI# 1316960032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316960032 |
Entity Type | Individual |
Full Name | KIMBERLY DALE JOHNSON |
Credential | MD |
Practice Address |
4820 East Main Street Sjrmc Urgent Care Farmington NM 87402 |
Mailing Address |
Po Box 4002 Durango CO 81302-4002 |
Practice Telephone | 5056096495 |
Practice Fax Number | 5056096496 |
Mailing Telephone | 9708840548 |
Enumeration Date | 2006-07-25 |
Last Update Date | 2012-10-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | MD2009-0511 | NM | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | 32573 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 01325737 | 05 | |
NM | K5584 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619020 | Kimberly Little Johnson | Physical Therapy Assistant | 7913 Red Globe Ct, Severn, MD 21144-1047 | 2020-11-05 |
1770198657 | Kimberly Ann Johnson | Technician | 171 Teal Rd, Martinsburg, WV 25405-8946 | 2020-09-09 |
1255940698 | Kimberly Renee Johnson | Clinical Exercise Physiologist | 5645 Danvers Rd, Portsmouth, VA 23703-3730 | 2020-07-30 |
1932722014 | Kimberly Lashonda Johnson | Counselor | 2018 James Overlook Dr, Chester, VA 23836-2851 | 2020-05-22 |
1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
1255965596 | Kimberly Ann Johnson | Occupational Therapy Assistant | 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 | 2020-02-25 |
1043788706 | Kimberly Johnson | Occupational Therapist | 8870 Youree Dr Ste 108, Shreveport, LA 71115-2512 | 2018-11-10 |
1750866992 | Kimberly Johnson | Driver | 3030 Marcia Louise Dr, Southaven, MS 38672-6750 | 2018-10-02 |
1801399928 | Kimberly Johnson | Chiropractor | 487 N Turnpike Rd, Santa Barbara, CA 93111-1955 | 2018-03-15 |
1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
Street Address |
4820 EAST MAIN STREET SJRMC URGENT CARE |
City | FARMINGTON |
State | NM |
Zip Code | 87402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285127803 | Guy Mearle Youell Jr. | Physical Therapy Assistant | 3701 Messina Dr. #108, Farmington, NM 87402 | 2018-06-08 |
1740612498 | Four Corners Sleep Supplies | Durable Medical Equipment & Medical Supplies | 6600 East Main St, Suite B, Farmington, NM 87402 | 2013-08-05 |
1528400199 | Cloud 9 Sleep Center | Clinic/Center | 6600 E Main St, Suite C, Farmington, NM 87402 | 2013-07-24 |
1023395027 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2844 E Main St Ste 105, Farmington, NM 87402 | 2011-11-04 |
1356530927 | Brimhall Chiropractic Wellness LLC | Chiropractor | 6610 E Main St, Farmington, NM 87402 | 2007-10-19 |
1548468184 | Susan L Burns | Hearing Instrument Specialist | 4331 E. Main St., Suite 202, Farmington, NM 87402 | 2007-07-05 |
1205031945 | Joanne Christine Rhodus | Speech-Language Pathologist | 6417 Red Rock Ct, Farmington, NM 87402 | 2007-06-20 |
1487867875 | Harvey R. Weber | Dentist | 4725 Foothills Dr., Farmington, NM 87402 | 2007-05-08 |
1891834891 | Rex Baker | Family Medicine | 4820 East Main St, Farmington, NM 87402 | 2007-02-06 |
1568531481 | Portia Deanne Sykes | Neuromusculoskeletal Medicine, Sports Medicine | 8100 East Main Street, Farmington, NM 87402 | 2006-11-07 |
Find all providers in zip 87402 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811315369 | Eduardo Sandoval Jr. | Emergency Medicine | 263 Farmington Ave Mc3955, Farmington, CT 03060-3955 | 2014-04-02 |
1801024088 | Jarrad Francis Maiers | Emergency Medicine | 801 West Maple Street, Farmington, NM 87401 | 2009-06-26 |
1215111398 | Patricia Ann Mcfadden | Emergency Medicine | 263 Farmington Ave # Mc1127, Farmington, CT 06030-1718 | 2007-12-24 |
1770527376 | John Stephen Hunt | Emergency Medicine | 1101 E. Liberty St., Farmington, MO 63640 | 2006-06-15 |
1891759221 | Bruce E Harrison | Emergency Medicine | 204 Green Trail Dr, Farmington, MO 63640-9132 | 2006-04-13 |
1396719134 | Janet M Wilmes | Emergency Medicine | 4820 E Main St, Farmington, NM 87402-8660 | 2006-02-16 |
1588636823 | Kelly L Hartel | Emergency Medicine | 1101 W. Liberty, Parkland Health Center, Farmington, MO 63640 | 2006-02-02 |
1851824262 | Joseph Anthony Kebisek | Emergency Medicine | 263 Farmington Ave, Farmington, CT 06032-1956 | 2017-04-04 |
1427403195 | Alexander Charmoz | Emergency Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2016-04-29 |
1982058384 | Ami Kurzweil | Emergency Medicine | 263 Farmington Ave, Farmington, CT 06030-1930 | 2016-04-21 |
Find all providers in FARMINGTON |
City | FARMINGTON |
Zip Code | 87402 |
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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.