DR. THEODORE MARTIN JOHNSON


Address: 500 Lilly Rd Ne, #205, Olympia, WA 98506-5195
Phone: 3604138222

DR. THEODORE MARTIN JOHNSON (NPI# 1356446777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356446777
Entity Type Individual
Full Name DR. THEODORE MARTIN JOHNSON
Credential PH.D.
Practice Address 500 Lilly Rd Ne
#205
Olympia
WA 98506-5195
Practice Telephone 3604138222
Practice Fax Number 3604138205
Mailing Telephone 3604138222
Mailing Fax Number 3604138205
Enumeration Date 2006-09-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY2977 WA Behavioral Health & Social Service Providers

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1982722625 Theodore J Johnson Specialist 2132 44th Ave Sw, Seattle, WA 98116-2102 2007-03-27
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1326099227 Theodore Stanley Johnson Anesthesiology Dept. # 1029, Denver, CO 80263-0001 2006-05-15
1144606724 Theodore Johnson Behavioral Analyst 2300 W Sahara Ave, Suite 800, Las Vegas, NV 89102-4352 2015-08-05
1417000282 Theodore Leroy Johnson Audiologist 177 Franklin Corner Rd, Ste. 1b, Lawrenceville, NJ 08648-2548 2007-01-18
1306953591 Theodore Lybarger Johnson Dentist 555 B Street, Springfield, OR 97477 2006-08-24
1265494983 Theodore Michael Johnson II Internal Medicine 1365 Clifton Rd Ne, Atlanta Va Medical Center, 508/11b, Atlanta, GA 30322-1013 2006-04-06

Office Location

Street Address 500 LILLY RD NE
#205
City OLYMPIA
State WA
Zip Code 98506-5195

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871594325 David H Schoening Internal Medicine 500 Lilly Rd Ne, Ste 100, Olympia, WA 98506 2005-08-09
1720644073 Carol Neff Moreno Family Medicine 500 Lilly Rd Ne, Olympia, WA 98506-5195 2019-05-13
1770936015 Ester Monique Brown Licensed Practical Nurse 500 Lilly Rd Ne, Olympia, WA 98506-5195 2016-07-22
1073969101 Samantha Moore Physician Assistant 500 Lilly Rd Ne, Olympia, WA 98506-5195 2016-05-07
1467720292 Sarah Byram Poppe Nurse Practitioner 500 Lilly Rd Ne, Suite 204, Olympia, WA 98506-5197 2011-12-07
1164724308 Providence Health & Services-washington Internal Medicine 500 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5195 2010-11-20
1659554624 Scott David Werden Internal Medicine 500 Lilly Rd Ne, Memorial Medical Plaza, Olympia, WA 98506-5195 2007-12-12
1124144431 Elijah Telfare Physician Assistant 500 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5195 2007-03-21
1194867887 Northwest Radiology Group LLC Specialist 500 Lilly Rd Ne, Suite 160, Olympia, WA 98506-5195 2007-02-12
1245391390 Patrick C Williams Physician Assistant 500 Lilly Rd Ne, Suite 204, Olympia, WA 98506-5197 2006-12-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477185460 Chloe Harper Technician, Other 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 2020-02-07
1912543539 Jessica Marie Radakovich Licensed Practical Nurse 3426 Mary Elder Rd, Olympia, WA 98506 2019-11-19
1669014973 Arlene Josephine Adams Registered Nurse 413 Lily Rd Ne, Olympia, WA 98506 2019-10-09
1861999120 Debra Delores Barker Licensed Practical Nurse 3710 South Bay Rd Ne, Olympia, WA 98506 2018-04-12
1801304431 Michelle Warner Nurse Practitioner 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 2018-01-17
1396258364 Institute for Family Development Community/Behavioral Health 204 Quince St. Ne, Suite 200, Olympia, WA 98506 2017-11-13
1083137715 Cameron Kunkel Specialist/Technologist 2512 20th Ave Ne, Olympia, WA 98506 2017-07-25
1184144768 Trevor Shane Kwan Family Medicine 525 Lilly Road Ne, Olympia, WA 98506 2017-06-23
1073043212 Michael H Harburg Behavior Technician 3857 Martin Way Ne, Olympia, WA 98506 2017-06-19
1780114371 Priscilla Kangyang Jadu Counselor 3857 Martin Way E., Olympia, WA 98506 2017-06-15
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457730509 Cynthia Jane Collingwood Psychologist 6636 Westhill Dr Sw, Olympia, WA 98512-2049 2015-05-22
1992954606 Siobhan Cherisse Budwey Psychologist 324 W Bay Dr Nw Ste 220, Olympia, WA 98502-4926 2008-09-17
1528243250 Kathleen K Oshaunessy Psychologist 2617 B 12th Ct Sw, Ste 5, Olympia, WA 98502 2007-12-31
1619168796 Daniel W Clark Psychologist 1405 Harrison Ave Nw Ste 205, Olympia, WA 98502-5327 2007-08-05
1649343419 Sherwin Barry Cotler Psychologist 26178 12th Ct Sw, Suite 5, Olympia, WA 98502-5714 2006-11-17
1932273422 John F Robinson Psychologist 1026 State Ave Ne, Olympia, WA 98506-4065 2006-11-17
1528174448 David Joseph Reynolds Psychologist 501 Columbia St Nw, Suite E, Olympia, WA 98501-8229 2006-08-22
1164459780 Susan D Steepy Psychologist 2617 B 12th Ct. Sw Suite 5, Olympia, WA 98502-5714 2006-06-27
1487690715 James W Ingersoll Psychologist 1115 Olympia Ave Ne, Olympia, WA 98506 2006-06-22
1962469429 Gerald Cavenee Psychologist 430 Lilly Rd Ne, Olympia, WA 98506-5132 2006-04-28
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Competitor

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City OLYMPIA
Zip Code 98506

Improve Information

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Dataset Information

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.

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