DR. KELLIE SUZANNE JOHNSON (NPI# 1447307632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447307632 |
Entity Type | Individual |
Full Name | DR. KELLIE SUZANNE JOHNSON |
Credential | MD |
Practice Address |
2221 9th St Sw Canton OH 44706-1464 |
Mailing Address |
9220 Bletchley Ave Nw North Canton OH 44720-4599 |
Practice Telephone | 3304553663 |
Practice Fax Number | 3304555355 |
Mailing Telephone | 3304975975 |
Enumeration Date | 2007-01-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 35063302J | OH | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871860817 | Kellie Simpson Johnson | Speech-Language Pathologist | 5106 W Running Brook Rd, Columbia, MD 21044-1522 | 2011-11-18 |
1750690004 | Kellie Diann Johnson | Licensed Vocational Nurse | 1412 15th St, Huntsville, TX 77340-4430 | 2010-10-05 |
1346337375 | Kellie Anita Johnson | Dentist | 815 E Berry St # B, Ft Worth, TX 76110-4414 | 2006-10-10 |
1235741331 | Kellie Lucille Johnson | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2020-08-19 |
1124553870 | Kellie Johnson | Occupational Therapist | 1301 Pierce Ave, Toronto, OH 43964-1015 | 2017-05-01 |
1487192696 | Kellie Johnson | Licensed Practical Nurse | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2017-02-08 |
1689064321 | Kellie L Johnson | Massage Therapist | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2015-02-03 |
1689916447 | Kellie Marie Johnson | Counselor | 1490 University Blvd, Hamilton, OH 45011-3305 | 2013-03-20 |
1750632089 | Kellie Renae Johnson | Specialist | 1315 Sw 6th Ave Ste B, Topeka, KS 66606-1582 | 2012-09-26 |
1396975553 | Kellie Nicole Johnson | Nurse Practitioner | 1600 S 48th St, Suite 600, Lincoln, NE 68506-1283 | 2009-07-22 |
Street Address |
2221 9TH ST SW |
City | CANTON |
State | OH |
Zip Code | 44706-1464 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174898431 | Gail Fronia Graham | Nurse Practitioner | 2221 9th St Sw, Canton, OH 44706-1464 | 2012-03-19 |
1184867160 | Dennis Bruce Kolarik | Orthopaedic Surgery | 2221 9th St Sw, Canton, OH 44706-1464 | 2009-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255741666 | Garfield Academy, Inc. | Local Education Agency (LEA) | 1379 Garfield Sw, Canton, OH 44706 | 2014-05-07 |
1982748414 | Total Living Center Free Clinic | Clinic/Center | 2221 9th St Sw Free Clinic, 2221 9th St Sw, Canton, OH 44706 | 2007-02-17 |
1649283631 | Rohit Prakash | Internal Medicine | 255 Dueber Ave Sw, Canton, OH 44706 | 2006-08-14 |
1114936119 | Cindi Renea Dagenhard | Licensed Practical Nurse | 2851 Highview Ave Sw, Canton, OH 44706 | 2006-08-07 |
1982018859 | Anne M Mccurdy | Counselor | 811 Faircrest St Sw, Canton, OH 44706 | 2014-06-18 |
1326459207 | Marla Mcvicker | Counselor | 811 Faircrest Street Sw, Canton, OH 44706 | 2014-05-14 |
1124440607 | Jade Thursia Fishburn | Counselor | 811 Faircrest Street Sw, Canton, OH 44706 | 2014-01-17 |
1962831685 | Quest Recovery and Prevention Services, Inc. | Community/Behavioral Health | 811 Faircrest Street Sw, Canton, OH 44706 | 2013-11-04 |
1124049663 | Michael L Yutzy | Family Medicine | 2600 6th St Sw, Canton, OH 44706 | 2006-07-21 |
1669818092 | Linda May May | Registered Nurse | 217 Harrison Ave Sw, Canton, OH 44706-1118 | 2013-05-13 |
Find all providers in zip 44706 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089585 | Tanya Millicent Kyler | General Practice | 512 Shorb Ave Nw Apt 3, Canton, OH 44703-2580 | 2020-10-05 |
1578835690 | Michael David Cuomo | General Practice | 1026 Sugar Pike Way, Canton, GA 30115-5423 | 2012-02-05 |
1154619237 | Abraham Home Visiting Physicians, P.C. | General Practice | 48558 Woodson Way, Canton, MI 48187-6675 | 2011-07-11 |
1528210911 | Sandra R. Beichler, D.o., Inc. | General Practice | 6310 Middlebranch Ave Ne, Canton, OH 44721-3555 | 2008-10-16 |
1083812457 | Piyush J Shah | General Practice | 7283 Kingsbridge Court, Canton, MI 48187-2407 | 2007-07-06 |
1780893602 | William Truly | General Practice | East Peace St, Canton, MS 39046-1069 | 2007-05-21 |
1346269073 | Chin-shee Chong | General Practice | 442 Washington St, Canton, MA 02021-3630 | 2006-07-19 |
1396703260 | John Francis Mccarthy | General Practice | 2 Devonshire Dr, Canton, MA 02021-1570 | 2006-05-02 |
1053825448 | Apex Physical Medicine, Inc | General Practice | 4883 Dressler Rd Nw Ste 100, Canton, OH 44718-3665 | 2017-11-22 |
1700235496 | Hess Hembree Iv | General Practice | 156 River Oaks Dr, Canton, MS 39046-5376 | 2016-06-03 |
Find all providers in CANTON |
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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.