JACK JOHNSON (NPI# 1356316996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356316996 |
| Entity Type | Individual |
| Full Name | JACK JOHNSON |
| Credential | MD |
| Practice Address |
455 Sherman St Ste 510 Denver CO 80203-4400 |
| Practice Telephone | 3033776825 |
| Practice Fax Number | 3037800787 |
| Mailing Telephone | 3033776825 |
| Mailing Fax Number | 3037800787 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2013-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 37891 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 51687275 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1881129419 | Jack Alston Johnson | Emergency Medicine | 2300 Lone Star Rd, Mansfield, TX 76063-8744 | 2017-04-20 |
| 1396063418 | Jack Simpson Johnson | General Practice | 979 Mt. Vernon Rd., Cookeville, TN 38501 | 2010-05-13 |
| 1295992030 | Jack Allen Johnson Jr. | Psychologist | 12469 Timberwood Dr, Walker, LA 70785-5743 | 2008-05-20 |
| 1548332570 | Jack W Johnson | Psychiatry & Neurology | 12377 Lewis Street, Suite #104, Garden Grove, CA 92840-4691 | 2006-11-14 |
| 1568570018 | Jack Lawrence Johnson | Marriage & Family Therapist | 3576 Arlington Ave, Suite 307, Riverside, CA 92506-3943 | 2006-08-25 |
| 1730699695 | Jack N Johnson | Naturopath | 5603 38th Ave Nw, Gig Harbor, WA 98335-8218 | 2017-10-05 |
| 1962638999 | Jack Frank Johnson IIi | Clinical Nurse Specialist | 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2996 | 2009-06-04 |
| 1902912322 | Jack F Johnson Jr. | Ophthalmology | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2006-08-21 |
| 1801859996 | Jack Leegon Johnson Jr. | Family Medicine | 560 W Main St, Suite 100, Lewisville, TX 75057-3629 | 2006-04-10 |
| Street Address |
455 SHERMAN ST STE 510 |
| City | DENVER |
| State | CO |
| Zip Code | 80203-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588658280 | Anne Stewart Thomas | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2005-09-08 |
| 1972842268 | Amanda Miller | Registered Nurse | 455 Sherman St, Denver, CO 80203-4400 | 2013-02-06 |
| 1871728659 | Jack Howard Betts | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2009-05-21 |
| 1780847228 | Adam David Coker | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2008-07-03 |
| 1982861597 | Jeremiah Blankenship | Anesthesiology | 455 Sherman St, Suite 510, Denver, CO 80203-4400 | 2008-05-21 |
| 1528258365 | Anders Daniel Carlstedt | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2007-07-27 |
| 1801017785 | Annette J Michael | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2007-05-01 |
| 1235266297 | Bruce A Lowry | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2007-02-27 |
| 1093857336 | Stacy E Cason | Nurse Anesthetist, Certified Registered | 455 Sherman St, Ste. 510, Denver, CO 80203-4400 | 2007-02-13 |
| 1932249695 | Yasser M Dahab | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821648999 | Sara Desiree Martin | Student in an Organized Health Care Education/Training Program | 948 Logan St #1, Denver, CO 80203 | 2019-09-19 |
| 1821581471 | Foot Tracks | Physical Therapist | 1120 N Lincoln St Ste 907, Denver, CO 80203 | 2018-06-08 |
| 1558870840 | Rene C. Katial | Registered Nurse | Suncrest Hospice, 777 E. Speer Blvd, Denver, CO 80203 | 2017-09-29 |
| 1295253946 | Katherine Longley | Counselor | 852 N Broadway Ste 200, Denver, CO 80203 | 2017-09-01 |
| 1679097125 | Alyssa Miller | Case Manager/Care Coordinator | 745 Sherman St, Denver, CO 80203 | 2017-07-26 |
| 1861922817 | Cara Jaffee | Nutritionist | 990 Logan St, Apt 701, Denver, CO 80203 | 2017-06-13 |
| 1285168583 | State of Colorado | Point of Service | 1575 Sherman Street, Cdhs, Denver, CO 80203 | 2017-04-13 |
| 1205388931 | Molly Dyer | Acupuncturist | 852 Broadway St., Ste. 200, Denver, CO 80203 | 2016-10-28 |
| 1164897997 | Jennifer Holt | Dietitian, Registered | 1935 Pearl St, Apt 3430, Denver, CO 80203 | 2015-12-04 |
| 1073985131 | Ashley Frances Nelson | Social Worker | 758 Sherman Street, Denver, CO 80203 | 2015-10-28 |
| Find all providers in zip 80203 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427685247 | Prime Anesthesia, Pllc | Anesthesiology | 3118 Newton St, Denver, CO 80211-3644 | 2020-03-23 |
| 1831550722 | Walter Braude | Anesthesiology | 315 Fairfax St, Denver, CO 80220-5746 | 2016-03-19 |
| 1144637372 | Robert Harling Di Carlo | Anesthesiology | 4083 So Wisteria Wy, Denver, CO 80237 | 2014-07-21 |
| 1093070518 | Dale Cordell Kistler | Anesthesiology | 2225 S Dayton St, Denver, CO 80231-3426 | 2012-07-10 |
| 1578820791 | John Marcus Hutyra | Anesthesiology | 1863 Wazee Street, Unit 5e, Denver, CO 80202 | 2012-04-12 |
| 1669798427 | Sarah Elena Kadhim | Anesthesiology | 2257 Lowell Blvd, Denver, CO 80211-5050 | 2010-04-19 |
| 1891018354 | Daniel Roger Beck | Anesthesiology | 215 Harrison St, Denver, CO 80206-5540 | 2010-03-11 |
| 1841520210 | Robert D Goldhamer | Anesthesiology | 95 S Jersey St, Denver, CO 80224-1034 | 2010-01-07 |
| 1205087038 | Vanston O Masri | Anesthesiology | 1601 E 19th Ave Ste 3600, Denver, CO 80218-1252 | 2008-10-10 |
| 1942485727 | Brian Michael Keech | Anesthesiology | 935 S Pennsylvania St, Denver, CO 80209-4138 | 2007-12-30 |
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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.