DR. ALEX C JOHNSON (NPI# 1417081399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417081399 |
| Entity Type | Individual |
| Full Name | DR. ALEX C JOHNSON |
| Credential | MD |
| Practice Address |
6140 W Curtisian Suite 200 Boise ID 83704 |
| Mailing Address |
3340 East Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083020000 |
| Practice Fax Number | 2083020055 |
| Mailing Telephone | 2083020000 |
| Mailing Fax Number | 2083020055 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | M-11027 | ID | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2007-00204 | NC | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M-11027 | ID | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
M-11027 | ID | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
M-11027 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356839385 | Alex Jerome Johnson | Technician | 3690 Hayes St Ne Apt T3, Washington, DC 20019-7541 | 2018-04-25 |
| 1386021293 | Alex Johnson | Specialist/Technologist | 73 28th Ave Ne, Fargo, ND 58102-1739 | 2015-04-29 |
| 1255982252 | Alex Johnson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-09-23 |
| 1003300849 | Alex Johnson | Dentist | 709 Westwood Dr, Monroe, MI 48161-1857 | 2018-06-15 |
| 1467986307 | Alex Johnson | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2017-04-18 |
| 1245627868 | Alex Johnson | Physical Therapist | 2839 W Kennewick Ave # 550, Kennewick, WA 99336-2927 | 2015-04-21 |
| 1952714891 | Alex Johnson | Family Medicine | 1730 Chew St, Allentown, PA 18104-5549 | 2014-06-09 |
| 1578802336 | Alex Nicholas Coffey Johnson | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2013-02-13 |
| 1790031912 | Alex Arden Johnson | Orthopaedic Surgery | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205-1638 | 2012-07-25 |
| 1508140153 | Alex R Johnson | Pharmacist | 701 E Ridge Rd, Mcallen, TX 78503-1553 | 2011-09-30 |
| Street Address |
6140 W CURTISIAN SUITE 200 |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457328478 | Dale W. Mcgar Jr. | Physician Assistant | 6140 W Curtisian, Ste 102, Boise, ID 83704-0109 | 2006-03-08 |
| 1588031272 | Finnegan Greer | Physician Assistant | 6140 W Curtisian, Ste 102, Boise, ID 83704 | 2015-08-28 |
| 1306274006 | Jocelyn L Mccullough | Clinical Nurse Specialist | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2013-10-16 |
| 1528316700 | Kelsey Field Babcock | Physician Assistant | 6140 W Curtisian, Ste 200, Boise, ID 83704-0107 | 2012-08-20 |
| 1487936829 | Frances Margaret Rogien | Nurse Practitioner | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2011-09-12 |
| 1831355957 | Benedict James Winston Taylor | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6140 W Curtisian, Ste 102, Boise, ID 83704-0109 | 2008-07-29 |
| 1376622985 | Matthew Ryan Nelson | Internal Medicine | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2006-11-03 |
| 1962501890 | David K Lee | Internal Medicine | 6140 W Curtisian, Suite 300, Boise, ID 83704-0107 | 2006-09-21 |
| 1730194150 | Ilyas Kaizar Colombowala | Internal Medicine | 6140 W Curtisian, Ste 300, Boise, ID 83704 | 2006-07-31 |
| 1336184803 | Helen Lawler | Physician Assistant | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2006-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730688748 | Cardiac Cin of Boise LLC | Internal Medicine | 800 W Main St Ste 1460-10, Boise, ID 83702-5945 | 2018-02-05 |
| 1144544644 | Jeffrey J Heslop | Internal Medicine | 6140 W Curtsian, Ste 200, Boise, ID 83704 | 2010-03-26 |
| 1063674505 | Joseph Aloysius Walsh IIi | Internal Medicine | 6140 W Curtisian Ave Ste 100, Boise, ID 83704 | 2008-06-26 |
| 1932153137 | Charles E Eiriksson Jr. | Internal Medicine | 300 E Jeffreson, Ste 101, Boise, ID 83712 | 2006-05-20 |
| 1558301515 | Mark G Parent | Internal Medicine | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2006-06-07 |
| 1588611263 | Robert L Duerr | Internal Medicine | 300 E Jefferson St, Suite 101, Boise, ID 83712-6246 | 2006-05-28 |
| 1811942543 | Steven L Writer | Internal Medicine | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1093972564 | St Patrick Hosp and Health Sci Ctr | Internal Medicine | 203 S. Daisy St, Salmon, ID 83467-4343 | 2008-05-21 |
| 1346713302 | Radial First Holdings | Internal Medicine | 2001 S Woodruff Ave Ste 12b, Idaho Falls, ID 83404-6372 | 2019-01-02 |
| 1730563909 | Radial First Cardiovascular Associates, LLC | Internal Medicine | 2001 S Woodruff Ave, Suite 3, Idaho Falls, ID 83404-6371 | 2015-07-16 |
| 1952670523 | Teton Cardiology PC | Internal Medicine | 3200 Channing Way, Ste A201, Idaho Falls, ID 83404-7546 | 2011-12-27 |
| 1902197866 | Robert Wynn Tonks | Internal Medicine | 775 Pole Line Rd W Ste 112, Twin Falls, ID 83301-5819 | 2011-04-27 |
| 1104972983 | Mercy Physician Group Inc. | Internal Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2007-01-26 |
| 1568540714 | Nathan E Green | Internal Medicine | 3525 E Louise Dr, Ste 400, Meridian, ID 83642-6302 | 2006-11-02 |
| 1518994367 | Marshall F Priest | Internal Medicine | 3525 E Louise Dr, Suite 400, Meridian, ID 83642-6351 | 2006-06-27 |
| 1326037342 | Peter G Roan | Internal Medicine | 4424 E Flamingo Ave, Suite 300, Nampa, ID 83687-9306 | 2005-10-21 |
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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.