DR. CARL WINSTON JOHNSON II (NPI# 1467450122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467450122 |
| Entity Type | Individual |
| Full Name | DR. CARL WINSTON JOHNSON II |
| Credential | MD |
| Practice Address |
6703 W 159th Street Suite 110 Tinley Park IL 60477 |
| Practice Telephone | 7083311122 |
| Practice Fax Number | 7083315987 |
| Mailing Telephone | 7083311122 |
| Mailing Fax Number | 7083315987 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 36107266 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE GROUP/PROVIDER | 363950/L93169 | 01 |
| IL | 36107266 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720362288 | Carl Johnson | Contractor | 101 S 12th St, Mcalester, OK 74501-5656 | 2011-10-03 |
| 1356572440 | Carl Edward Johnson | Social Worker | 1537 W Adams St, #2r, Chicago, IL 60607-2451 | 2009-08-06 |
| 1083878490 | Carl R Johnson | Pharmacist | 524 Dean Hall Ct, Mt Pleasant, SC 29464-6204 | 2008-07-15 |
| 1205044369 | Carl Joseph Johnson | Dentist | 7241 Owensmouth Ave, Canoga Park, CA 91303-1530 | 2007-05-20 |
| 1700908670 | Carl Allen Johnson | Dermatology | 2610 Blossom St, Columbia, SC 29205-2308 | 2007-04-04 |
| 1427183847 | Carl Frederick Johnson | Marriage & Family Therapist | 2200 Century Parkway, Suite 200, Atlanta, GA 30345-3103 | 2007-02-23 |
| 1912063652 | Carl Austin Johnson | Physical Therapist | 285 W Francis, Blackfoot Physical Therapy, Blackfoot, ID 83221 | 2006-12-28 |
| 1437264033 | Carl L Johnson | Internal Medicine | 5320 W 12th St, Little Rock, AR 72204 | 2006-08-21 |
| 1144237215 | Carl E Johnson | Internal Medicine | 87 Herrick St, Beverly, MA 01915-2773 | 2006-08-02 |
| 1487679684 | Carl E Johnson | Pathology | 24 Las Praderas Dr, San Luis Obispo, CA 93401-7410 | 2006-07-12 |
| Street Address |
6703 W 159TH STREET SUITE 110 |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780055285 | Jessica Stoeberl | Physician Assistant | 6703 W 159th Street, Suite 110, Tinley Park, IL 60477 | 2015-10-12 |
| 1194014647 | Krunal H Pardiwala | Surgery | 6703 W 159th Street, Suite 110, Tinley Park, IL 60477 | 2011-04-05 |
| 1427107697 | Ravi M Deshmukh | Surgery | 6703 W 159th Street, Suite 110, Tinley Park, IL 60477 | 2007-01-09 |
| 1134280134 | Gary R Peplinski | Surgery | 6703 W 159th Street, Suite 110, Tinley Park, IL 60477 | 2006-12-13 |
| 1114949211 | Mary Kanashiro | Internal Medicine | 6703 W 159th Street, Suite 109, Tinley Park, IL 60477-1782 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| 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 |
|---|---|---|---|---|
| 1790933125 | Joslyn M Albright | Surgery | 18210 La Grange Rd Ste 105, Tinley Park, IL 60487 | 2008-08-27 |
| 1174581482 | Jennifer Gambla | Surgery | 17333 La Grange Rd, Suite 102, Tinley Park, IL 60487-7502 | 2006-05-03 |
| 1194014647 | Krunal H Pardiwala | Surgery | 6703 W 159th Street, Suite 110, Tinley Park, IL 60477 | 2011-04-05 |
| 1427107697 | Ravi M Deshmukh | Surgery | 6703 W 159th Street, Suite 110, Tinley Park, IL 60477 | 2007-01-09 |
| 1134280134 | Gary R Peplinski | Surgery | 6703 W 159th Street, Suite 110, Tinley Park, IL 60477 | 2006-12-13 |
| 1851318521 | Ingalls Same Day Surgery Center Ltd Ptr | Surgery | 6701 159th St, Lower Level, Tinley Park, IL 60477-1758 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
Please comment or provide details below to improve the information on DR. CARL WINSTON JOHNSON II.
| 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.