DR. GABRIEL HAYDEN JOHNSON (NPI# 1558523878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558523878 |
| Entity Type | Individual |
| Full Name | DR. GABRIEL HAYDEN JOHNSON |
| Credential | DO |
| Practice Address |
1008 Minnequa Ave Pueblo CO 81004-3733 |
| Mailing Address |
Po Box 7693 Loveland CO 80537-0693 |
| Practice Telephone | 7195847410 |
| Mailing Telephone | 7066327429 |
| Mailing Fax Number | 9703422093 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
48004 | CO | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2018-00655 | NC | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 48004 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11050 Mount Belvedere Blvd, Fort Drum, NY 136025438 | 3157741451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124578331 | Gabriel Johnson | Physician Assistant | 1601 Clint Moore Rd, Suite 155, Boca Raton, FL 33487-2768 | 2016-10-12 |
| 1275938680 | Gabriel David Johnson | Family Medicine | 315 N Washington St, Viborg, SD 57070-2002 | 2014-10-28 |
| 1609138304 | Gabriel D Johnson | Hospitalist | 700 S Park St, Madison, WI 53715-1830 | 2012-06-09 |
| 1770759870 | Gabriel Lee Johnson | Counselor | 760 West Mountain View Street, Altadena, CA 91350 | 2008-05-08 |
| 1972631752 | Gabriel Jay Johnson | Optometrist | 300 Lycoming Mall Cir, Suite 264, Pennsdale, PA 17756-8072 | 2007-03-01 |
| Street Address |
1008 MINNEQUA AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447922 | Gregory S Larsen | Anesthesiology | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2005-06-20 |
| 1497360705 | Catholic Health Initiatives Colorado | Internal Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-09-14 |
| 1649894833 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-06-03 |
| 1932735321 | Usacs of Colorado Inc | Emergency Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-03-17 |
| 1992264105 | Heather Crump Thoreson | Pharmacist | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2019-03-18 |
| 1225543630 | Catholic Health Iniatives Colorado | General Acute Care Hospital | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2017-12-07 |
| 1467985713 | Richard Wayne Tsambikos | General Practice | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2017-04-04 |
| 1053859983 | Danielle Marie Sanders | Nurse Practitioner | 1008 Minnequa Ave, Pueblo, CO 81004 | 2017-02-12 |
| 1497207336 | April Irvine | Dietitian, Registered | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2016-10-26 |
| 1750737862 | Trevor Wilson Halle | Emergency Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2016-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790730810 | Parkwest Imaging, L.l.c | Radiology | 3676 Parker Blvd Suite 165, Pueblo, CO 81008-2212 | 2006-05-24 |
| 1417929373 | Gordon F Gibbs | Radiology | 115 E Riverwalk, Unit 200, Pueblo, CO 81003-3308 | 2006-02-06 |
| 1790767549 | Michael E. Ball | Radiology | 124 W Pitkin Ave, Pueblo, CO 81004-2021 | 2005-11-17 |
| 1396346185 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 255, Pueblo, CO 81008-1667 | 2020-11-06 |
| 1114528908 | Pueblo Radiological Group, P.C. | Radiology | 1020 Lakeview Ave, Pueblo, CO 81004-3508 | 2020-11-06 |
| 1346841129 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2020-11-06 |
| 1013518000 | Pueblo Radiological Group, P.C. | Radiology | 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 | 2020-11-05 |
| 1164023131 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 37, Pueblo, CO 81008-1667 | 2020-11-05 |
| 1043811011 | Pueblo Radiological Group, P.C. | Radiology | 729 E Spaulding Ave, Pueblo, CO 81007-3512 | 2020-11-05 |
| 1841421344 | David Abbott | Radiology | 1619 N Greenwood St, Suite 103, Pueblo, CO 81003-2644 | 2009-07-31 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on DR. GABRIEL HAYDEN 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.