BENJAMIN SCOTT JOHNSON (NPI# 1508420647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508420647 |
| Entity Type | Individual |
| Full Name | BENJAMIN SCOTT JOHNSON |
| Credential | MD |
| Practice Address |
4201 Saint Antoine St # Uhc Detroit MI 48201-2153 |
| Mailing Address |
1030 N Marshall St Apt 5 Milwaukee WI 53202-3355 |
| Practice Telephone | 3135770804 |
| Mailing Telephone | 3195417736 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588125066 | Benjamin Levi Johnson | Physician Assistant | 2208 Longwood Rd, Lynchburg, VA 24503-4220 | 2019-03-27 |
| 1053878660 | Benjamin Johnson | Technician | 46 Forrester St Sw Apt 1, Washington, DC 20032-2111 | 2019-03-01 |
| 1235679382 | Benjamin V Johnson Sr. | Technician, Pathology | 210 Crossings Blvd, Suite 227, Elverson, PA 19520-9070 | 2017-03-07 |
| 1972051613 | Benjamin Johnson IIi | Physical Therapy Assistant | 202 Canaan Rd, Stratford, CT 06614-4611 | 2016-09-12 |
| 1194142281 | Benjamin R Johnson | Anesthesiology | 1653 W Congress Parkway 739 Jelke Dept Anesthesia, Chicago, IL 60612-0000 | 2014-03-26 |
| 1851731590 | Benjamin Erusha Johnson | Surgery | 2740 W Foster Ave Ste 213, Chicago, IL 60625-3532 | 2013-06-26 |
| 1114287349 | Benjamin Everett Johnson | Counselor | 1000 Clay St, Kenner, LA 70062-6734 | 2012-05-22 |
| 1750670014 | Benjamin Singer Johnson | Dentist | 4027 N Bartlett Ave, Shorewood, WI 53211-1909 | 2011-04-06 |
| 1710286786 | Benjamin Johnson | Chiropractor | 917 8th Ave S Ste C, Nashville, TN 37203-4768 | 2011-03-16 |
| 1144458019 | Benjamin Aaron Johnson | Dentist | 4000 Bellmead Dr, Waco, TX 76705 | 2009-06-30 |
| Street Address |
4201 SAINT ANTOINE ST # UHC |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164621884 | Lequishia Alexander | Internal Medicine | 4201 Saint Antoine St # Uhc, Wayne State University/detroit Medical Center, Departme, Detroit, MI 48201-2153 | 2007-07-12 |
| 1699304345 | Justin Graff | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # Uhc, Detroit, MI 48201-2153 | 2020-04-05 |
| 1407485121 | John Peleman | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # Uhc, Detroit, MI 48201-2153 | 2020-04-04 |
| 1104274463 | Thomas Jetmore | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # Uhc, Wsu Department of Otolaryngology, Detroit, MI 48201-2153 | 2016-05-27 |
| 1255561171 | Bradley Seabron Wilkins | Internal Medicine | 4201 Saint Antoine St # Uhc, Wayne State University/ Department Internal Medicine, Detroit, MI 48201-2153 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514702 | Leeza Fortner | Student in an Organized Health Care Education/Training Program | 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 | 2020-10-06 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912516790 | Omar Choudhury | Student in an Organized Health Care Education/Training Program | Henroy Ford Hospital, Medical Education Department ., 2799 W. Grand Boulevard, Detroit, MI 48202-2608 | 2020-07-28 |
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1932725959 | Devonn Eli Israil | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St Rm 2d, Detroit, MI 48201-2153 | 2020-06-25 |
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| Find all providers in DETROIT | ||||
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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.