JOHN KIM JOHNSON (NPI# 1508861345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508861345 |
| Entity Type | Individual |
| Full Name | JOHN KIM JOHNSON |
| Credential | M.D. |
| Practice Address |
200 Patewood Dr Suite B260 Greenville SC 29615-3593 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4566 |
| Practice Telephone | 8644544600 |
| Practice Fax Number | 8644644605 |
| Mailing Telephone | 8647976044 |
| Mailing Fax Number | 8647976198 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2011-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 12867 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 128677 | 05 | |
| SC | BCBS OF SC | 576007863180 | 01 |
| SC | RR MEDICARE | P00801293 | 01 |
| SC | RR MEDICARE | P00318488 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518604 | John William Johnson | Marriage & Family Therapist | 2700 Abbot Kinney Blvd Apt 11, Venice, CA 90291-4772 | 2020-11-02 |
| 1659913945 | John D Johnson | Social Worker | 541 Westcott Dr, Friday Harbor, WA 98250-8112 | 2019-10-08 |
| 1952861577 | John Lucien Johnson | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw # C3201, Washington, DC 20007-2196 | 2019-03-20 |
| 1598285603 | John David Johnson | Behavioral Analyst | 401 Avenue G, Matamoras, PA 18336-1303 | 2017-06-21 |
| 1235590969 | John W Johnson | Counselor | 235 Mahogany Dr, Opelousas, LA 70570-1253 | 2016-03-08 |
| 1972985356 | John Wesley Johnson | Pediatrics | 595 Hurricane Shoald Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2015-06-23 |
| 1194113621 | John Johnson | Optometrist | 1169 N Burleson Blvd Ste 131, Burleson, TX 76028-7011 | 2015-01-07 |
| 1366867426 | John Albert Johnson Jr. | Dentist | 3702 Coppercrest Dr, Bryan, TX 77802-5941 | 2014-02-26 |
| 1689016966 | John A Johnson | Licensed Practical Nurse | 9104 N 75th St, Apt. 3a, Milwaukee, WI 53223-2064 | 2013-07-26 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| Street Address |
200 PATEWOOD DR SUITE B260 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255941241 | Sharmaine Barnes | Specialist/Technologist | 200 Patewood Dr, Greenville, SC 29615-3593 | 2020-08-04 |
| 1598320897 | Yana Ginzburg | Physical Therapist | 200 Patewood Dr, Greenville, SC 29615-3593 | 2019-05-02 |
| 1457891228 | Sierra R Williams | Nurse Practitioner | 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 | 2017-02-27 |
| 1063951333 | Megan Lee Hiott | Nurse Practitioner | 200 Patewood Dr, A330, Greenville, SC 29615-3593 | 2017-02-19 |
| 1316485394 | Anita Suzette Combs | Nurse Practitioner | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2017-02-09 |
| 1730626813 | Lauren Lee Hays | Nurse Practitioner | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2017-01-26 |
| 1497200083 | Abigail Pellett | Physical Therapist | 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 | 2016-08-24 |
| 1033664909 | Prisma Health-upstate | General Acute Care Hospital | 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | 2016-08-22 |
| 1144775032 | Prisma Health-upstate | General Acute Care Hospital | 200 Patewood Dr, Building A, Greenville, SC 29615-3593 | 2016-08-20 |
| 1629522578 | Philip Van Dyke | Physical Therapist | 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 | 2016-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497016778 | Adam R Mathes | Neurological Surgery | Piedmont Spine and Neurosurgical Group, 3 St. Francis Drive, Ste 490, Greenville, SC 29601-3973 | 2012-06-04 |
| 1720205016 | Sharon Woods Webb | Neurological Surgery | 3 Saint Francis Dr Ste 490, Greenville, SC 29601-3973 | 2007-04-19 |
| 1144349168 | Delta Physician Practices | Neurological Surgery | 1703 Hospital St, Greenville, MS 38703-3225 | 2007-03-29 |
| 1396856175 | Connie D Cerne | Neurological Surgery | 2325 Stantonsburg Road, Greenville, NC 27834 | 2006-08-31 |
| 1811992035 | Stephen Ray Gardner | Neurological Surgery | 105 Doctors Dr, Greenville, SC 29605-5608 | 2005-06-15 |
| 1962407171 | Alfred Turner Nelson Jr. | Neurological Surgery | 111 Doctors Dr, Greenville, SC 29605-5622 | 2005-06-15 |
| 1669942710 | St Francis Physicians Services Inc | Neurological Surgery | 3 Saint Francis Dr Ste 490, Greenville, SC 29601-3973 | 2018-12-03 |
| 1831517838 | St Francis Physician Services Inc | Neurological Surgery | 3 Saint Francis Dr Ste 490, Greenville, SC 29601-3973 | 2014-04-07 |
| 1992062269 | Kathleen Elizabeth Knudson | Neurological Surgery | 2325 Stantonsburg Rd, Greenville, NC 27834-7534 | 2012-04-11 |
| 1225323488 | Jan Vargas Machaj | Neurological Surgery | 109 Doctors Dr, Greenville, SC 29605 | 2011-06-16 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
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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.