JACOB KEITH JOHNSON (NPI# 1497198634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497198634 |
Entity Type | Individual |
Full Name | JACOB KEITH JOHNSON |
Credential | M.D. |
Practice Address |
101 Manning Drive Chapel Hill NC 27599-4051 |
Practice Telephone | 9849747850 |
Enumeration Date | 2013-04-08 |
Last Update Date | 2018-01-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
2016-00663 | NC | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588273999 | Jacob Johnson | Military Health Care Provider | 413 Salvo Ct, Holly Ridge, NC 28445-8609 | 2020-07-31 |
1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
1952945354 | Jacob Johnson | Specialist | 3501 Forbes Ave Ste 932, Pittsburgh, PA 15213-3317 | 2019-10-30 |
1912568320 | Jacob Johnson | Specialist/Technologist | 116 Elmwood St, Dearborn, MI 48124-1424 | 2019-06-26 |
1952811861 | Jacob Johnson | Specialist/Technologist | 33610 Washington St Ne, Cambridge, MN 55008-9153 | 2017-10-05 |
1982120895 | Jacob Lynn Johnson | Dentist | Bldg 1200, 149g W Hart St, Sheppard Afb, TX 76311-7631 | 2017-08-22 |
1083158554 | Jacob Johnson | Nurse Anesthetist, Certified Registered | 7105 Davis Grey Dr, Asheville, NC 28803-0208 | 2016-12-18 |
1174873723 | Jacob Darrell Johnson | Physical Therapist | 1515 North Center Street, Suite 5, Lonoke, AR 72086 | 2012-09-11 |
1962760124 | Jacob Daniel Johnson | Surgery | 15411 Park Village Blvd, Taylor, MI 48180-4886 | 2012-04-25 |
1457300477 | Jacob Johnson | Otolaryngology | 450 Sutter St Rm 933, Ste 933, San Francisco, CA 94108-3997 | 2006-05-08 |
Street Address |
101 MANNING DRIVE |
City | CHAPEL HILL |
State | NC |
Zip Code | 27599-4051 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841289824 | Samantha Pulliam | Obstetrics & Gynecology | 101 Manning Drive, Unc Hospitals, Chapel Hill, NC 27514 | 2005-10-21 |
1447871322 | Ayat Rafiq Soufan | Social Worker | 101 Manning Drive, Cb 7030, Chapel Hill, NC 27514-4220 | 2020-05-01 |
1144840810 | Kaitlyn Elizabeth Dehority | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Department of Physical Medicine and Rehabilitation, Chapel Hill, NC 27514-4226 | 2020-04-22 |
1477116937 | Katherine Stuart Dickson | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Unc Department of Psychiatry, Chapel Hill, NC 27514 | 2019-04-19 |
1992268205 | Steven James Siano | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Department of Physical Medicine and Rehabilitation, Chapel Hill, NC 27514-4226 | 2019-04-12 |
1548722879 | Ryan Taylor Morse | Internal Medicine | 101 Manning Drive, Chapel Hill, NC 27599-8500 | 2019-04-04 |
1841757069 | Lucas Stone | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Chapel Hill, NC 27599-3098 | 2019-02-24 |
1003300591 | Laura Ashley Keyes | Occupational Therapist | 101 Manning Drive, Chapel Hill, NC 27514 | 2018-06-18 |
1780173518 | Derek Hoerres | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb#7525, Chapel Hill, NC 27514 | 2018-05-07 |
1073002150 | Johnathan Harry Stathopoulos | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2018-05-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
1528558384 | Alexandria Sims Hart | Student in an Organized Health Care Education/Training Program | Nc2198 Unc Hospitals Cb# 7010, Chapel Hill, NC 27599 | 2018-05-16 |
1972091833 | Kaila Tindle Yeste | Student in an Organized Health Care Education/Training Program | 101 Manning Drive Nc Memorial Hospital, Rm N1183 To Cb 7200, Chapel Hill, NC 27599 | 2018-04-26 |
1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
1902324627 | Gustavo Ernesto Mahn Arteaga | Student in an Organized Health Care Education/Training Program | 401 Brauer Hall Operative Graduate Clinic, Chapel Hill, NC 27599 | 2017-09-01 |
1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
1407381148 | Shelby Lauren Register | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2017-05-01 |
1386021723 | Andrew Coniglio | Student in an Organized Health Care Education/Training Program | 170 Manning Drive, Cb 7070, Phys Off Bldg Room G190, Chapel Hill, NC 27599 | 2015-05-06 |
1871970319 | Laura Parente | Pediatrics | 260 Macnider Building Cb # 7220, 321 S Columbia Street Unc School of Medicine, Chapel Hill, NC 27599 | 2015-05-05 |
Find all providers in zip 27599 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518519388 | Carrie Stephens Mayo | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2019-07-11 |
1669818894 | Genevieve Louise Taylor | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2013-05-15 |
1811927924 | Sigal Peter-wohl | Pediatrics | 101 Manning Dr, Cb 7596, Chapel Hill, NC 27514-4220 | 2006-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396181764 | Erin Elizabeth Hayes Orth | Pediatrics | 1121 North Church Street, Greensboro, NC 27401 | 2013-05-13 |
1518202969 | Ronald Paul Gregoire | Pediatrics | 207 Cabbage Inlet Ln, Wilmington, NC 28409-3004 | 2012-12-11 |
1225396690 | Wesley Matthew Jackson | Pediatrics | 5801 Mountain Island Dr, Durham, NC 27713-8909 | 2012-04-24 |
1982915179 | Jennifer Lee Nash Holman | Pediatrics | Wfsm Department of Pediatrics, Medical Center Boulevard, Winston Salem, NC 27157-1081 | 2010-06-23 |
1306023742 | Scott Allan Witt | Pediatrics | Duke University Medical Center Department of Pediatrics, Dumc Box 3179, Durham, NC 27710-0001 | 2008-01-29 |
1386827335 | Piedmont Neonatology PC | Pediatrics | 628 Green Valley Road, Suite 210, Greensboro, NC 27408-7789 | 2007-12-13 |
1508959420 | Neonatology Services of Hickory, Pllc | Pediatrics | 352 2nd St. Nw, Suite #205, Hickory, NC 28601 | 2006-10-02 |
1104840248 | Roy Schneiderman | Pediatrics | 655 Lake Dornoch Drive, Pinehurst, NC 28374-7135 | 2006-07-26 |
1588617948 | Usha Doshi | Pediatrics | 101 Maynard Crossing Ct, N/a, Cary, NC 27513-8723 | 2006-05-18 |
1689634792 | Christie C. Davanzo | Pediatrics | 628 Green Valley Rd, Suite 210, Greensboro, NC 27408-7730 | 2006-03-23 |
Find all providers with the same taxonomy |
City | CHAPEL HILL |
Zip Code | 27599 |
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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.