KYLE THOMAS JOHNSON (NPI# 1538659420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538659420 |
| Entity Type | Individual |
| Full Name | KYLE THOMAS JOHNSON |
| Credential | MD |
| Practice Address |
1500 E. Medical Center Drive Taubman Center, 2nd Floor, Reception C Ann Arbor MI 48109-5330 |
| Mailing Address |
1500 E. Medical Center Drive 3875 Tc, Spc 5330 Ann Arbor MI 48109-5330 |
| Practice Telephone | 7349367030 |
| Practice Fax Number | 7349369127 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2019-06-13 |
| 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 | 5301115031 | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235690066 | Kyle Johnson | Case Manager/Care Coordinator | 1809 Brighton Ave, Oklahoma City, OK 73120-1111 | 2019-03-26 |
| 1548720816 | Kyle Patrick Johnson | Physician Assistant | 2955 Clay St Apt 1, San Francisco, CA 94115-1766 | 2019-03-22 |
| 1518492784 | Kyle Ann Johnson | Counselor | 25 S Ewing St Ste 511, Helena, MT 59601-5732 | 2017-04-25 |
| 1801320577 | Kyle Johnson | Pharmacist | 2198 6th Ave, Cadillac, MI 49601-8896 | 2017-04-19 |
| 1588014021 | Kyle Johnson | Dental Hygienist | 1109 S Park St Ste 504, Carrollton, GA 30117-4449 | 2016-06-15 |
| 1730307570 | Kyle E. Johnson | Psychiatry & Neurology | 515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 | 2007-04-24 |
| 1699785410 | Kyle Dale Johnson | Optometrist | 1104 E Ohio St, Clinton, MO 64735-2458 | 2006-08-08 |
| 1366042855 | Kyle Johnson | Pharmacist | 161 N Walmart Dr, Harrison, AR 72601-1960 | 2020-10-26 |
| 1083226559 | Kyle Johnson | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-08-17 |
| 1477162071 | Kyle Douglas Johnson | Dentist | 5800 Coit Rd Ste 700, Plano, TX 75023-5946 | 2020-07-29 |
| Street Address |
1500 E. MEDICAL CENTER DRIVE TAUBMAN CENTER, 2ND FLOOR, RECEPTION C |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700808862 | Pratima Sharma | Internal Medicine | 1500 E. Medical Center Drive, 3rd Floor Taubman Ctr Recp D, Ann Arbor, MI 48109-5362 | 2006-07-24 |
| 1033737747 | Jeremy X Figueroa-ortiz | Dentist | 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2020-07-09 |
| 1407472822 | Nicholas Saleem Raja | Obstetrics & Gynecology | 1500 E. Medical Center Drive, L5003 Uh South, Ann Arbor, MI 48109-5276 | 2020-06-22 |
| 1285250142 | Kathryn Krukowski | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 1h 247 Uh, Ann Arbor, MI 48109-5048 | 2020-06-17 |
| 1437772449 | Michael M Bair | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Uh B1530, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-26 |
| 1457974834 | Joy Obayemi | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 2920 Taubman Center, Spc 5331, Ann Arbor, MI 48109-5331 | 2020-05-20 |
| 1720601149 | Connor Mitchell Smith | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 1903 Taubman Center, Spc 5312, Ann Arbor, MI 48109 | 2020-05-20 |
| 1164083762 | Alexander Morrison-nozik | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2019-06-25 |
| 1235790163 | Sandy Tadros | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 1h241 Uh, Ann Arbor, MI 48109-5048 | 2019-06-21 |
| 1558920710 | Nicole Rigas Naidoo | Dentist | 1500 E. Medical Center Drive, Medinn C213, Spc 5831, Ann Arbor, MI 48109-5831 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| 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 |
|---|---|---|---|---|
| 1285234062 | Christopher Michael Kemp | Student in an Organized Health Care Education/Training Program | 1710 Hermitage Rd, Ann Arbor, MI 48104-4503 | 2020-10-29 |
| 1326647728 | Sevcan Turk | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Uh B2-a209, Dept. of Radiology, Neuroradiology Division, Ann Arbor, MI 48109-5030 | 2020-10-19 |
| 1124645080 | Emma Theis Schiestl | Student in an Organized Health Care Education/Training Program | 500 E Washington St Ste 11, Ann Arbor, MI 48104-2057 | 2020-06-26 |
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1811513773 | Jomy Varghese | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr # 1h247, Ann Arbor, MI 48109-5000 | 2020-06-17 |
| 1891318895 | Michael James Ponkowski | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Spc 5332, Taubman Center, 2nd Floor, Reception F, Ann Arbor, MI 48109-5332 | 2020-05-26 |
| 1467075580 | Jonathan Edward Williams | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr. Spc 5332, Taubman Center, Second Floor, Reception F, Ann Arbor, MI 48109-5332 | 2020-05-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1114540572 | Dustin Nguyen | Student in an Organized Health Care Education/Training Program | 400 E. Eisenhower Pkwy, Building 2, Suite B, Ann Arbor, MI 48108-3302 | 2020-05-20 |
| 1821611203 | Parth U Patel | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr Fl Center2, Taubman Center, 2nd Floor, Reception F, Ann Arbor, MI 48109-5000 | 2020-05-20 |
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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.