DR. JOE H JOHNSON (NPI# 1326082033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326082033 |
Entity Type | Individual |
Full Name | DR. JOE H JOHNSON |
Credential | M.D. |
Practice Address |
2409 N Patterson St Suite 230 Valdosta GA 31602-2512 |
Practice Telephone | 2292594369 |
Practice Fax Number | 2294336513 |
Mailing Telephone | 2292594369 |
Mailing Fax Number | 2294336513 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2014-09-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 025621 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | BLUE CROSS HMO | 2501248 | 01 |
GA | BLUE CROSS PPO | 5569443 | 01 |
GA | RAILROAD | 770002553 | 01 |
GA | 00391058F | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699024349 | Joe L Johnson | Counselor | 10150 Storm Meadow Dr, Houston, TX 77064-5474 | 2012-09-09 |
1780804021 | Joe W Johnson | Chiropractor | 22395 Us Highway 331 N, Laurel Hill, FL 32567-3309 | 2007-04-27 |
1235269580 | Joe E Johnson | Counselor | 12223 Highgate Ct, Rancho Cucamonga, CA 91739-9148 | 2007-03-06 |
1033191739 | Joe E Johnson Jr. | Internal Medicine | 5001 Highway 190 East Service Rd, Suite A3, Covington, LA 70433-4930 | 2005-11-17 |
1013454180 | Joe Douglas Johnson | Physical Therapy Assistant | 3101 Plumas St, Reno, NV 89509-4515 | 2017-01-26 |
1689121097 | Joe Johnson | Case Manager/Care Coordinator | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2016-09-01 |
1902850563 | Joe Thomas Johnson | Social Worker | 12000 Kennedy Ln, Suite 100, Fredericksburg, VA 22407-6016 | 2006-05-19 |
1619974193 | Joe Breese Johnson Jr. | Radiology | 1112 E Weisgarber Rd, Ste 201, Knoxville, TN 37909-2647 | 2005-06-30 |
1801893474 | Joe Stanley Johnson | Family Medicine | 220 N Ridgeway Dr, Cleburne, TX 76033-4115 | 2005-06-28 |
Street Address |
2409 N PATTERSON ST SUITE 230 |
City | VALDOSTA |
State | GA |
Zip Code | 31602-2512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215976105 | Maurice M Solis | Surgery | 2409 N Patterson St, Suite 230, Valdosta, GA 31602-2512 | 2006-06-06 |
1164040556 | Erin Nichole Satterfield | Nurse Practitioner | 2409 N Patterson St, Valdosta, GA 31602-2512 | 2020-07-11 |
1467936179 | Brooke Sukalski | Nurse Practitioner | 2409 N Patterson St, Valdosta, GA 31602-2512 | 2018-09-18 |
1477900355 | Jana Harrod | Nurse Practitioner | 2409 N Patterson St, Suite 230, Valdosta, GA 31602-2512 | 2016-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
Find all providers in zip 31602 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780624445 | Mark A Corbitt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 104 W Northside Dr, Valdosta, GA 31602-1713 | 2006-06-08 |
1053591008 | Dr. Mark A. Corbiit M.d. P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 104 W Northside Dr, Valdosta, GA 31602-1713 | 2007-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437514239 | Tai Iwamura | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4410 Charleston Pl, Dunwoody, GA 30338-6463 | 2015-12-21 |
1821330663 | Michael Dory Horowitz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3465 Harlan Dr Se, Smyrna, GA 30080-4617 | 2013-03-19 |
1295075703 | Holland Victor Moore | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 747 Aumond Rd, Augusta, GA 30909-3258 | 2013-02-20 |
1376894683 | Agewell Men's Institute | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3596 Old Milton Pkwy, Alpharetta, GA 30005-4465 | 2012-09-26 |
1376894709 | Chris Malone, Md | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 Prince Ave Ste 13, Athens, GA 30606-5906 | 2012-09-25 |
1356602056 | Andrew H Maloney | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 95 Collier Rd Nw Ste 2055, Atlanta, GA 30309-1721 | 2012-05-30 |
1134407075 | Robert A Hall Md LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Longfield Ct, Savannah, GA 31410-3513 | 2011-07-26 |
1912205964 | Umesh Nareppa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1365 Clifton Rd Ne Ste A2228, Atlanta, GA 30322-1013 | 2011-02-28 |
1174754246 | Adil Sadiq | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1036 Carlyle Lk, Decatur, GA 30033-4632 | 2009-08-06 |
1760629216 | Jonathan Gerard Mcguiness | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1365a Clifton Road, Ne, Suite A2223 Cardiothoracic Surgery, Atlanta, GA 30322 | 2009-01-20 |
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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.