TIMOTHY DAVID JOHANSON (NPI# 1578577441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578577441 |
| Entity Type | Individual |
| Full Name | TIMOTHY DAVID JOHANSON |
| Credential | M.D. |
| Practice Address |
1501 N. Campbell Ave. Tucson AZ 85724 |
| Mailing Address |
2701 E. Elvira Rd Tucson AZ 85756-7124 |
| Practice Telephone | 9529209191 |
| Practice Fax Number | 9529200232 |
| Mailing Telephone | 5206260923 |
| Mailing Fax Number | 5206262808 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 51152 | AZ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 33782 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA | 1200632 | 01 | |
| PREFERRED ONE | CP9020830013 | 01 | |
| MN | BLUE CROSS BLUE SHIELD | 47B40JO | 01 |
| MN | 496002500 | 05 |
| Street Address |
1501 N. CAMPBELL AVE. |
| City | TUCSON |
| State | AZ |
| Zip Code | 85724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299184 | Ahmad Iftikhar | Internal Medicine | 1501 N. Campbell Ave., Room 6336, Tucson, AZ 85724-5040 | 2018-06-20 |
| 1033648985 | Eduardo Antonio Espinoza Olortegui | Surgery | 1501 N. Campbell Ave., Tucson, AZ 85724 | 2017-06-05 |
| 1083061436 | Bonnie Barbee | Internal Medicine | 1501 N. Campbell Ave., Arizona Health Sciences Center, Tucson, AZ 85724 | 2016-05-16 |
| 1316252315 | Stephen Allen Shiller | Pain Medicine | 1501 N. Campbell Ave., Tucson, AZ 85724 | 2010-08-13 |
| 1891967808 | Jenny Mendelson | Emergency Medicine | 1501 N. Campbell Ave., Tucson, AZ 85724-5057 | 2008-03-31 |
| 1255502696 | Nahla M. Zaghloul | Pediatrics | 1501 N. Campbell Ave., Tucson, AZ 85724 | 2008-03-13 |
| 1326238502 | Lauren Anne Nicholls | Pediatrics | 1501 N. Campbell Ave., Rm 5341c Banner University Medical Center-tucson, Tucson, AZ 85724-5073 | 2007-07-25 |
| 1386779122 | Melissa A. Moore | Pediatrics | 1501 N. Campbell Ave., Tucson, AZ 85724 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
| 1255780789 | Elly Varma | Internal Medicine | 1501 N Campbell Avenue Com Room 6336, Department of Medicine, Tuscon, AZ 85724 | 2016-06-06 |
| 1295183234 | Elise Vo | Internal Medicine | 1501 N. Campbell- Room 6336, Tucson, AZ 85724 | 2016-06-01 |
| 1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
| 1023403623 | Laura Elizabeth Bach | Internal Medicine | 1501 N Campbell Ave Rm 6402, Tucson, AZ 85724 | 2015-03-31 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1447678016 | Kimberly Schmelzle Winsor | Student in an Organized Health Care Education/Training Program | 1501 N, Campbell Ave., Tucson, AZ 85724 | 2014-04-01 |
| 1710299276 | Jeffrey M Rice | Neurological Surgery | 1501 North Campbell Avenue, University of Arizona, Tucson, AZ 85724 | 2010-07-12 |
| 1558698464 | University of Arizona | General Acute Care Hospital | U of A Health Sciences Center - Umc Pediatrics, Campbell Ave, Tucson, AZ 85724 | 2009-11-13 |
| Find all providers in zip 85724 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1952965212 | Jeremey William Gneck | Pediatrics | 1625 N Campbell Ave Tucson Az 85719, Tucson, AZ 85724-0001 | 2019-04-23 |
| 1992295158 | Melanie Anne Kaplanek | Pediatrics | 1501 N Campbell Ave Rm 3301, Tucson, AZ 85724-0001 | 2018-05-14 |
| 1003352154 | Pleasant Pediatrics Plc | Pediatrics | 1601 N Oracle Rd, Tucson, AZ 85705-6440 | 2017-01-13 |
| 1134570211 | Eryn Simmons | Pediatrics | 1620 W Commerce Ct, Tucson, AZ 85746-6005 | 2016-06-29 |
| 1063860518 | Rachael Charles | Pediatrics | 2621 N Woodland Rd, Tucson, AZ 85749-9576 | 2016-05-25 |
| 1376998294 | Drew Carter Johnson | Pediatrics | 1625 N Campbell Ave Rm 3301, Tucson, AZ 85719-4330 | 2016-04-28 |
| 1609280742 | Emily Nicole Lawson | Pediatrics | 826 W Placita Estrella Azul, Tucson, AZ 85713-1595 | 2014-06-17 |
| 1598184020 | John Paul Jarczyk | Pediatrics | University of Arizona Dept of Pediatrics, 1501 N. Campbell Ave., Tucson, AZ 85724-0001 | 2014-04-11 |
| 1558780346 | Leo Warren Landau Md | Pediatrics | 11702 E Saint James Rd, Tucson, AZ 85748-7928 | 2014-04-09 |
| Find all providers in TUCSON | ||||
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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.