MR. KEVIN TIMOTHY JOHNSON (NPI# 1558834234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558834234 |
| Entity Type | Individual |
| Full Name | MR. KEVIN TIMOTHY JOHNSON |
| Credential | PA-C |
| Practice Address |
411 Naylor Mill Rd Salisbury MD 21801-1191 |
| Mailing Address |
6125 Westbury Dr Salisbury MD 21801-1681 |
| Practice Telephone | 4436699177 |
| Mailing Telephone | 4436699177 |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2019-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0001098 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CDS | PA77250 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912463704 | Kevin Johnson | Chiropractor | 2601 E Chapman Ave Ste 214, Fullerton, CA 92831-3737 | 2019-02-16 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1205384955 | Kevin Johnson Jr. | Community Health Worker | 1261 Roslyn Ave, Akron, OH 44320-3424 | 2016-09-12 |
| 1073949400 | Kevin William Johnson | Counselor | 1147 16th St N, St Petersburg, FL 33705-1104 | 2013-09-17 |
| 1669752200 | Kevin L Johnson | Pharmacist | 2600 S 48th St, Lincoln, NE 68506-2502 | 2011-08-26 |
| 1346536463 | Kevin Charles Johnson | Pharmacist | 747 Highway 259 North, Kilgore, TX 75662-5175 | 2011-06-27 |
| 1770806374 | Kevin Neil Johnson | Physical Medicine & Rehabilitation | 9913 214th St W Ste B, Lakeville, MN 55044-1914 | 2010-03-10 |
| 1326280991 | Kevin Anthony Johnson | Family Medicine | 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 | 2009-03-29 |
| 1558566588 | Kevin Charles Johnson | Speech-Language Pathologist | 8620 Holly Dr, Suite 230, Everett, WA 98208-1825 | 2007-06-19 |
| 1366583841 | Kevin Darnell Johnson | Dentist | 71 Valley St, Suite103, South Orange, NJ 07079-2835 | 2007-02-09 |
| Street Address |
411 NAYLOR MILL RD |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-1191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225583693 | Benjamin Gogg | Physician Assistant | 3103 Grandeur Dr, Salisbury, NC 28146-1618 | 2016-08-16 |
| 1114381449 | Courtney Mishler | Physician Assistant | 1821 Sweetbay Dr # 1, Salisbury, MD 21804-1664 | 2016-04-13 |
| 1720214919 | Heesung Sean Kim | Physician Assistant | 106 Pine Bluff Rd Ste 11, Salisbury, MD 21801-7161 | 2009-06-02 |
| 1275791147 | Vincent Walter Lewis | Physician Assistant | 1324 Belmont Ave Ste 103, Salisbury, MD 21804-4543 | 2008-05-28 |
| 1295365377 | Kaitlyn Marie Shelton | Physician Assistant | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-01-17 |
| 1346727351 | Kathryn M Melore | Physician Assistant | 100 E Carroll St, Salisbury, MD 21801-5422 | 2018-07-23 |
| 1639619224 | Lewis Primary Care, P.a. | Physician Assistant | 1324 Belmont Ave, Unit 103, Salisbury, MD 21804-4584 | 2017-03-01 |
| 1245778182 | Nicole Graham | Physician Assistant | 1401 W Innes St, Salisbury, NC 28144-2574 | 2017-02-10 |
| 1508223108 | Lawrence Tawiah | Physician Assistant | 951 Mount Hermon Rd, Salisbury, MD 21804-5159 | 2016-01-27 |
| 1427420884 | Brian Austin Delgreco | Physician Assistant | 100 E Carroll St, Salisbury, MD 21801-5493 | 2015-10-26 |
| Find all providers in SALISBURY | ||||
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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.