DR. MYSTIE L JOHNSON (NPI# 1467457747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467457747 |
| Entity Type | Individual |
| Full Name | DR. MYSTIE L JOHNSON |
| Credential | MD |
| Practice Address |
9305 W Thomas Rd Ste 155 Phoenix AZ 85037-3328 |
| Practice Telephone | 6239361780 |
| Practice Fax Number | 6239369116 |
| Mailing Telephone | 6239361780 |
| Mailing Fax Number | 6239369116 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2011-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
27778 | AZ | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
27778 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
9305 W THOMAS RD STE 155 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295219624 | Samantha Albrecht | Nurse Practitioner | 9305 W Thomas Rd, Phoenix, AZ 85037-3328 | 2018-09-21 |
| 1225570732 | Omni Dermatology Estrella LLC | Specialist | 9305 W Thomas Rd, Ste 350, Phoenix, AZ 85037-3328 | 2016-11-15 |
| 1326597444 | Vanessa Breguez Mitchell | Physician Assistant | 9305 W Thomas Rd, Suite 410, Phoenix, AZ 85037-3328 | 2016-09-30 |
| 1912353806 | Center for Orthopedic Research and Education, Inc | Durable Medical Equipment & Medical Supplies | 9305 W Thomas Rd, Suite 275, Phoenix, AZ 85037-3328 | 2016-05-10 |
| 1700270071 | Sarah Francis Debenedetto | Physical Therapist | 9305 W Thomas Rd, Suite 150, Phoenix, AZ 85037-3328 | 2015-03-25 |
| 1881088144 | Keith Butler | Physical Therapist | 9305 W Thomas Rd, Suite 150, Phoenix, AZ 85037-3328 | 2015-03-25 |
| 1366848814 | Tanner Jo Caughey | Physical Therapist | 9305 W Thomas Rd, Suite 150, Phoenix, AZ 85037-3328 | 2014-11-11 |
| 1720403397 | Caroline Seronde | Physical Therapy Assistant | 9305 W Thomas Rd, Ste 150, Phoenix, AZ 85037-3328 | 2014-02-19 |
| 1750702759 | Holly Hussey | Occupational Therapist | 9305 W Thomas Rd, Suite 150, Phoenix, AZ 85037-3328 | 2013-12-18 |
| 1962830471 | Center for Orthopedic Research and Education | Occupational Therapist | 9305 W Thomas Rd, Ste 275, Phoenix, AZ 85037-3328 | 2013-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124414834 | Rachel Eliason | Obstetrics & Gynecology | 500 W Thomas Rd Ste 660, Phoenix, AZ 85013-4247 | 2015-04-09 |
| 1033389911 | Gynecolgy Center of Phoenix | Obstetrics & Gynecology | 2222 E Highland Ave Ste 225a, Phoenix, AZ 85016-4885 | 2008-03-06 |
| 1043302656 | Gordon Doyle Davis | Obstetrics & Gynecology | 300 W Clarendon, #100, Phoenix, AZ 85013 | 2006-09-29 |
| 1750398251 | Jack Obadia | Obstetrics & Gynecology | 2725 E Camelback Rd, # 150, Phoenix, AZ 85016-4312 | 2006-08-01 |
| 1215927892 | Paragi R Shah | Obstetrics & Gynecology | 19646 N 27th Ave, Ste 403, Phoenix, AZ 85027-4017 | 2005-10-25 |
| 1427046291 | Laurel A Kubby | Obstetrics & Gynecology | 3102 E Indian School Rd, #130, Phoenix, AZ 85016-6872 | 2005-10-06 |
| 1043204175 | Jeffry Weisfeld | Obstetrics & Gynecology | 2911 W Sierra St, Phoenix, AZ 85029-4327 | 2005-09-03 |
| 1891787693 | Kelly H Roy | Obstetrics & Gynecology | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2005-08-17 |
| 1194717991 | Felipe L.g. Videla | Obstetrics & Gynecology | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 | 2005-08-17 |
| 1720070790 | Franklin D Loffer | Obstetrics & Gynecology | 3410 N 4th Ave, Phoenix, AZ 85013-3905 | 2005-08-16 |
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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.