CLARK PETER JOHNSON (NPI# 1548220700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548220700 |
| Entity Type | Individual |
| Full Name | CLARK PETER JOHNSON |
| Credential | DPM |
| Practice Address |
213 North Ave Battle Creek MI 49017-3430 |
| Practice Telephone | 2699686000 |
| Practice Fax Number | 2699683015 |
| Mailing Telephone | 2699686000 |
| Mailing Fax Number | 2699683015 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901000962 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
5901000962 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
5901000962 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1342674 | 05 | |
| MI | PHP IBA | 2730002 | 01 |
| MI | AETNA | 5212079 | 01 |
| MI | BCBSM | 4851350000 | 01 |
| MI | BLUE CARE NETWORK | P53895 | 01 |
| MI | ADMINASTAR DMERC | 0980190001 | 01 |
| MI | PREFERRED CHOICES | 121508 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518225929 | Clark A Johnson | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2012-04-24 |
| 1407124910 | Clark Johnson | Physical Therapist | 2789 Brooks Range, Prescott, AZ 86301-7636 | 2011-12-12 |
| 1497989305 | Clark Timothy Johnson | Obstetrics & Gynecology | 600 N Wolfe Street Phipps 279, Baltimore, MD 21287-0001 | 2009-05-06 |
| 1801185764 | Clark Johnson | Rehabilitation Practitioner | 6055 E Washington Blvd, Suite 900, Commerce, CA 90040-2449 | 2011-03-31 |
| 1841527033 | Clark Michael Johnson | Chiropractor | 1221 Alhambra Blvd, Suite 105, Sacramento, CA 95816-5237 | 2009-11-09 |
| 1528239399 | Clark Lewis Johnson | Marriage & Family Therapist | 222 West St, Suite 29f, Keene, NH 03431-2455 | 2008-03-19 |
| 1720278310 | Clark Mitchell Johnson | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2007-07-30 |
| 1487706099 | Clark Woodrow Johnson | Psychiatry & Neurology | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2007-01-17 |
| Street Address |
213 NORTH AVE |
| City | BATTLE CREEK |
| State | MI |
| Zip Code | 49017-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730149907 | Chad D Chambers | Podiatrist | 213 North Ave, Battle Creek, MI 49017-3430 | 2006-03-23 |
| 1306103163 | Mark W Hosking | Podiatrist | 213 North Ave, Battle Creek, MI 49017-3430 | 2012-04-18 |
| 1558531152 | North Avenue Podiatry Services PC | Podiatrist | 213 North Ave, Battle Creek, MI 49017-3430 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245883784 | Lauren Gressley | Nurse Practitioner | 363 Fremont St Ste 101, Battle Creek, MI 49017 | 2019-07-23 |
| 1619448958 | Carmel T Ryan | Speech-Language Pathologist | 654 Wagner Dr, Battle Creek, MI 49017 | 2018-12-16 |
| 1467934679 | Anita Lynn Riddle | Nurse Practitioner | 100 W. Vanburen Street, Battle Creek, MI 49017 | 2018-09-04 |
| 1841799749 | Carolyn R Boyle | Social Worker | 2 West Michigan Ave. Suite 300, Battle Creek, MI 49017 | 2018-02-06 |
| 1962928879 | Battle Creek Family Chiropractic PC | Chiropractor | 32 Van Buren W, Battle Creek, MI 49017 | 2017-08-22 |
| 1598292146 | Melissa Elizabeth Kellogg | Counselor | 2 West Michigan Ave., Suite 300, Battle Creek, MI 49017 | 2017-05-15 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1770822462 | Mindy Newhouse-oisten | Psychologist | 140 West Michigan Avenue, Battle Creek, MI 49017 | 2013-01-31 |
| 1033403118 | Charlotte G Andreasen | Nurse Practitioner | 70 Michigan Ave. West, Neurology of Battle Creek, Battle Creek, MI 49017 | 2011-06-06 |
| 1841504727 | Louise Ann Vollwiler | Optometrist | 12737 Cotton Lake Road, Sam's Club Store No.6429, Battle Creek, MI 49017 | 2010-08-03 |
| Find all providers in zip 49017 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699792226 | Charles William Wentworth | Podiatrist | 359 Territorial Rd W, Battle Creek, MI 49015-3245 | 2006-07-17 |
| 1558531152 | North Avenue Podiatry Services PC | Podiatrist | 213 North Ave, Battle Creek, MI 49017-3430 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185227 | Richard S Klimecki Dpm | Podiatrist | 30205 Schoenherr Rd Ste A, Warren, MI 48088-6800 | 2020-08-17 |
| 1063037075 | Vikrant Wadehra | Podiatrist | 27629 Chatsworth St, Farmington Hills, MI 48334-1821 | 2020-06-15 |
| 1255963401 | Metrocare Visiting Physicians Pllc | Podiatrist | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-02-06 |
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1760961577 | Premier Foot & Ankle II Pllc | Podiatrist | 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322-4448 | 2018-08-13 |
| 1609379395 | Nomad Podiatry Pllc | Podiatrist | 28230 S Pointe Ln, New Baltimore, MI 48051-2347 | 2018-03-09 |
| 1861993685 | Steven J. Repitor | Podiatrist | 8244 Metro Pkwy # C, Sterling Heights, MI 48312-2778 | 2018-02-27 |
| 1588179584 | Sheryl Bentzley Dpm PC | Podiatrist | 967 Brooklawn Dr, Troy, MI 48084-2659 | 2017-12-12 |
| 1598287914 | Fadee Ramzi Kakos | Podiatrist | 15830 Fort St Ste 8, Southgate, MI 48195-1348 | 2017-07-07 |
| 1104347178 | Benjamin Hartger | Podiatrist | 600 Park Ave Ste 3, Grand Haven, MI 49417-2173 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
| City | BATTLE CREEK |
| Zip Code | 49017 |
Please comment or provide details below to improve the information on CLARK PETER 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.