JAY A JOHNSON (NPI# 1497715262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497715262 |
| Entity Type | Individual |
| Full Name | JAY A JOHNSON |
| Credential | DO |
| Practice Address |
2103 Ingersoll Ave Des Moines IA 50312-5262 |
| Mailing Address |
2103 Ingersoll Avenue Des Moines IA 50312-5262 |
| Practice Telephone | 5152796424 |
| Practice Fax Number | 5152793237 |
| Mailing Telephone | 5152796424 |
| Mailing Fax Number | 5152793237 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2012-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3360 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0260901 | 05 | |
| IA | 1497715262 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265626006 | Jay Thomas Johnson | Emergency Medicine | 642 S 2nd St, Apt 1003, Louisville, KY 40202-2433 | 2007-09-05 |
| 1457570319 | Jay A Johnson | Dentist | 3220 North Bronco St, Suite 102, Las Vegas, NV 89108-4863 | 2007-04-25 |
| 1104970052 | Jay D. Johnson | Optometrist | 1120 Rambling Oaks Drive, Norman, OK 73072 | 2007-01-22 |
| 1851302210 | Jay B Johnson | Dentist | 7520 Bierstadt Hts, Suite 125, Peyton, CO 80831-6174 | 2006-08-11 |
| 1043224264 | Jay Kevin Johnson | Psychiatry & Neurology | 7134 S Yale Ave Ste 450, Tulsa, OK 74136-6380 | 2006-07-27 |
| 1457952913 | Jay Kimberly Johnson | Pharmacist | 221 W Parrish Ln, Centerville, UT 84014-1829 | 2020-11-02 |
| 1053939652 | Jay Johnson | Behavior Technician | 4952 Warner Ave Ste 300, Huntington Beach, CA 92649-5506 | 2020-07-09 |
| 1205251709 | Jay Johnson | Registered Nurse | 6400 Uptown Blvd Ne, Ste 360w, Albuquerque, NM 87110-4204 | 2014-02-20 |
| 1679760219 | Jay W Johnson | Chiropractor | 1208 Washington Ave, Detroit Lakes, MN 56501-3906 | 2007-09-27 |
| 1932308418 | Jay K Johnson | Physician Assistant | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-07-13 |
| Street Address |
2103 INGERSOLL AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50312-5262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508837667 | Janae Dawn Brown | Nurse Practitioner | 2103 Ingersoll Ave, Des Moines, IA 50312 | 2006-01-27 |
| 1528587847 | Stephanie Wadle | Nurse Practitioner | 2103 Ingersoll Ave, Des Moines, IA 50312-5227 | 2017-09-18 |
| 1265955421 | Kaitlin Dammann | Physician Assistant | 2103 Ingersoll Ave, Des Moines, IA 50312-5227 | 2017-07-19 |
| 1497298327 | Matthew Molin | Family Medicine | 2103 Ingersoll Ave, Des Moines, IA 50312-5227 | 2016-11-25 |
| 1477504371 | Central Iowa Hospital Corporation | Nurse Practitioner | 2103 Ingersoll Ave, Des Moines, IA 50312-5262 | 2006-05-15 |
| 1922068691 | Lawrence W Matthews | Family Medicine | 2103 Ingersoll Ave, Des Moines, IA 50312-5262 | 2006-03-25 |
| 1780643163 | Robert Steven Shires | Family Medicine | 2103 Ingersoll Ave, Des Moines, IA 50312-5262 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851861587 | Clayton Health Systems, Inc | Family Medicine | 351 Francis Avenue, Des Moines, NM 88418 | 2018-11-26 |
| 1982043014 | Angela De Hamer | Family Medicine | 1111 6th Ave Fl 4, Des Moines, IA 50314-2610 | 2013-06-21 |
| 1174962500 | Paul Lyndon Nurmi | Family Medicine | 6601 Sw Ninth Street, Des Moines, IA 50315-6138 | 2013-06-19 |
| 1356780647 | Jenna L W Ridlen | Family Medicine | 1350 Des Moines Street, Suite 110, Des Moines, IA 50309-5507 | 2013-06-19 |
| 1639461007 | Gwen George Luepke | Family Medicine | 2725 Merle Hay Rd, Des Moines, IA 50310-1134 | 2011-05-04 |
| 1083926414 | Steven R Morris | Family Medicine | 840 E University Avenue, Des Moines, IA 50316-2304 | 2010-07-14 |
| 1922258474 | Dennis Lee Anderson | Family Medicine | 5221 Village Run Ave, Unit 1602, Des Moines, IA 50317-4979 | 2008-09-21 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1760681597 | Jose G Aguilar | Family Medicine | 1350 Des Moines St., Ste 110, Des Moines, IA 50309-5526 | 2007-07-12 |
| 1164646691 | Sara Esther Sutton | Family Medicine | 3219 Sw 39th St, Des Moines, IA 50321-1304 | 2007-04-13 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50312 |
Please comment or provide details below to improve the information on JAY A JOHNSON.
| 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.