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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY2977 | WA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528300191 | Theodore Herbert Johnson | General Practice | 141 S Mountain Dr, New Britain, CT 06052-1511 | 2013-03-21 |
1396983540 | Theodore Robert Johnson | Registered Nurse | 15315 W Hearn Rd, Surprise, AZ 85379-7068 | 2009-01-27 |
1255453759 | Theodore Samuel Johnson | Pediatrics | 1120 Fifteenth Street, Cn-4141a, Augusta, GA 30912 | 2007-04-04 |
1982722625 | Theodore J Johnson | Specialist | 2132 44th Ave Sw, Seattle, WA 98116-2102 | 2007-03-27 |
1972661494 | Theodore Coatany Johnson | Dentist | 4855 Ward Rd, Suite 700, Wheat Ridge, CO 80033 | 2006-12-05 |
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 |
Street Address |
500 LILLY RD NE #205 |
City | OLYMPIA |
State | WA |
Zip Code | 98506-5195 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 98506 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
Find all providers in OLYMPIA |
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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.