KENNETH THOMAS JOHNSON (NPI# 1417903766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417903766 |
| Entity Type | Individual |
| Full Name | KENNETH THOMAS JOHNSON |
| Credential | M.D. |
| Practice Address |
151 Farmington Ave Hartford CT 06156-0001 |
| Mailing Address |
51 Berkshire Dr Farmington CT 06032-2505 |
| Practice Telephone | 8606369073 |
| Mailing Telephone | 8606369073 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 80902 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
151 FARMINGTON AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06156-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999587 | Aetna Health Inc. (ct) | Health Maintenance Organization | 151 Farmington Ave, Hartford, CT 06156-0001 | 2020-07-17 |
| 1568099075 | Faith D.c. Harris | Pharmacist | 151 Farmington Ave, Hartford, CT 06156-3427 | 2020-03-25 |
| 1063769107 | Lonny Reisman | Internal Medicine | 151 Farmington Ave, Hartford, CT 06156-0001 | 2012-08-08 |
| 1750666764 | Palak Chokshi | Pharmacist | 151 Farmington Ave, Hartford, CT 06156-0001 | 2011-10-21 |
| 1275818288 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 151 Farmington Ave, Hartford, CT 06156-0001 | 2011-10-21 |
| 1730484643 | Elizabeth A Summa | Social Worker | 151 Farmington Ave, Rs32, Hartford, CT 06156-0001 | 2011-01-24 |
| 1629225842 | Aetna Inc., Wellness Works Center | Clinic/Center | 151 Farmington Ave, Hartford, CT 06156-0001 | 2008-08-19 |
| 1669637088 | Ptsma Inc | Clinic/Center | 151 Farmington Ave, Hartford, CT 06156-0001 | 2008-07-24 |
| 1750582045 | Joel B Hellmann | Emergency Medicine | 151 Farmington Ave, Hartford, CT 06156-0001 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306168398 | Corporate Health Demensions, Inc | Clinic/Center | 151 Farmington Ave., Reaw, Hartford, CT 06156 | 2010-02-18 |
| 1356560031 | Kirsten Margret Anderson | Internal Medicine | 151 Farmington Ave # Re52, Office of The Cmo, Hartford, CT 06156-0001 | 2007-04-24 |
| 1326014341 | Shilpa Thakur | Internal Medicine | Wellness Works Ctr, 151 Farmington Ave, Hartford, CT 06156-0001 | 2006-02-28 |
| 1326326588 | James Dewitt Cross | General Practice | 151 Farmington Ave # Re52, Hartford, CT 06156-0001 | 2011-07-21 |
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467544239 | Connecticut Surgeons, LLC | Surgery | 95 Woodland St, Second Floor, Hartford, CT 06105 | 2006-09-29 |
| 1376657080 | Ibrahim M Daoud | Surgery | 95 Woodland St Fl 2, Hartford, CT 06105 | 2006-08-18 |
| 1568475051 | John M Dasilva | Surgery | 290 Collins St, Hartford, CT 06105-1549 | 2006-08-14 |
| 1265482384 | Youssef Moussa Horanieh | Surgery | 95 Woodland Street, Breast Center, Hartford, CT 06105-0000 | 2006-05-11 |
| 1336199736 | Narasimhan Chandra Narayanan | Surgery | 500 Blue Hills Ave, Wound Care Center, Hartford, CT 06112-1500 | 2006-05-10 |
| 1154309292 | Janna Reddy Pathi | Surgery | 1215 Old Main St, Oc Surgery Clinic, Hartford, KY 42347-1619 | 2006-01-09 |
| 1316471014 | Lindsay Lynch | Surgery | 80 Seymour Street, Bliss Wing, Suite 703, Hartford, CT 06102 | 2017-04-19 |
| 1013396522 | Olivier Van Houtte | Surgery | 114 Woodland St, Hartford, CT 06105-1208 | 2015-05-29 |
| 1922407238 | Saint Francis Medical Group, Inc. | Surgery | 1000 Asylum Ave, Suite 4320, Hartford, CT 06105-1770 | 2014-08-22 |
| 1275971582 | Nicholas John Costanzo | Surgery | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-5037 | 2013-06-08 |
| Find all providers in HARTFORD | ||||
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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.