DR. CODY TYLER JOHNSON (NPI# 1558711911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558711911 |
| Entity Type | Individual |
| Full Name | DR. CODY TYLER JOHNSON |
| Credential | D.O. |
| Practice Address |
800 N Fant St Anderson SC 29621-5708 |
| Mailing Address |
18 Appleton Ln Mauldin SC 29662-3415 |
| Practice Telephone | 8645121000 |
| Mailing Telephone | 6168260506 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2020-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 83087 | SC | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 5101022301 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881904613 | Cody Johnson | Social Worker | Trailtalk, 3585 N University Ave. Ste 250, Provo, UT 84604 | 2010-10-14 |
| 1023265170 | Cody S Johnson | Dentist | 201 Dental Science S, Iowa City, IA 52242-1001 | 2008-08-20 |
| 1154464709 | Cody Johnson | Physical Therapist | 820 S Alma Dr Ste 100, Allen, TX 75013-3809 | 2007-02-14 |
| 1700400553 | Cody Johnson | Physical Therapy Assistant | 809 S Broad St Sw, Rome, GA 30161-4654 | 2020-06-07 |
| 1457854044 | Cody William Johnson | Counselor | 2273 S Vista Ave Ste 190, Boise, ID 83705-7341 | 2018-03-09 |
| 1306346705 | Cody Johnson | Behavior Technician | 6100 Colleyville Blvd Ste 135, Colleyville, TX 76034-8038 | 2018-02-13 |
| 1821522681 | Cody Johnson | Emergency Medicine | 2120 L St Nw Ste 450, Washington, DC 20037-1541 | 2017-04-18 |
| 1285176842 | Cody Johnson | Peer Specialist | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2016-11-14 |
| 1104241595 | Cody Reid Johnson | Radiology | 8901 Rockville Pike, Bethesda, MD 20889-2197 | 2014-02-22 |
| Street Address |
800 N FANT ST |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182262 | Sarah Anne Cummings | Nurse Anesthetist, Certified Registered | 800 N Fant St, Anderson, SC 29621-5708 | 2005-05-30 |
| 1922623677 | Ivy Ray | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2020-06-09 |
| 1003431701 | Jennifer E Thompson | Pharmacist | 800 N Fant St, Anderson, SC 29621-5708 | 2020-06-09 |
| 1174165054 | Heather Marshall Ford | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-10-12 |
| 1700349206 | Carleen O'connell | Registered Nurse | 800 N Fant St, Anderson, SC 29621-5708 | 2019-04-11 |
| 1942769666 | Dharti Patel | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-03-13 |
| 1760940225 | Meredith H Hargrove | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-03-04 |
| 1780169276 | Brent Austin Harris | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2018-10-01 |
| 1356826929 | Donna Annette Patterson | Registered Nurse | 800 N Fant St, Anderson, SC 29621-5708 | 2018-09-30 |
| 1174002059 | Ich Er Services, LLC | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2018-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215363429 | Medexpress Urgent Care, PC-indiana | Emergency Medicine | 3800 South Scatterfield Road, Anderson, IN 46013-2621 | 2013-09-19 |
| 1679578850 | St. Vincent Anderson Regional Hospital, Inc. | Emergency Medicine | 2015 Jackson St, Anderson, IN 46016-4337 | 2005-06-15 |
| 1174002059 | Ich Er Services, LLC | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2018-08-10 |
| 1093243412 | Michael Clarke | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2017-05-30 |
| 1124550934 | Kevin Matthew Summers | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2017-03-30 |
| 1245761147 | Joseph Daniel Cox | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2017-03-22 |
| 1861730111 | Madison County Emergency Services PC | Emergency Medicine | 2015 Jackson St, Emergency Department, Anderson, IN 46016-4337 | 2013-01-22 |
| 1336403070 | Jessilynn Reese Rose | Emergency Medicine | 2015 Jackson St, Anderson, IN 46016-4337 | 2012-06-27 |
| 1114292877 | Epcha, PC | Emergency Medicine | 1515 N Madison Ave, Emergency Department, Anderson, IN 46011-3453 | 2012-03-14 |
| 1801024799 | Kevin Dale Horn | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2009-06-30 |
| Find all providers in ANDERSON | ||||
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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.