MR. PAXTON MCKEOWN JOHANSON (NPI# 1588627376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588627376 |
| Entity Type | Individual |
| Full Name | MR. PAXTON MCKEOWN JOHANSON |
| Credential | PA |
| Practice Address |
833 Princeton Ave Sw 200a Birmingham AL 35211 |
| Practice Telephone | 2057862776 |
| Practice Fax Number | 2057866227 |
| Mailing Telephone | 2057862776 |
| Mailing Fax Number | 2057866227 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2014-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-469 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9102616 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 291696700 | 05 |
| Street Address |
833 PRINCETON AVE SW 200A |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173271 | Clifton Thomas Pannell Lewis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 833 Princeton Ave Sw, Suite 200a, Birmingham, AL 35211-1323 | 2005-06-10 |
| 1750901237 | Jacob Baldwin Switzer | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1396365862 | Heather Rose Russo | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1528688009 | William Chase Wiggins | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1699395178 | Whitney Jawan Smith | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1790305282 | Paul Yager | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1619597184 | Abigail Mcmurry Smith | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1023638871 | Long Ly | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-22 |
| 1235759002 | James Clayton Parker IIi | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-22 |
| 1285254052 | Bonnie Elizabeth Moore | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043603236 | Julie Boyd | Physician Assistant | 516 20th St S, Birmingham, AL 35233-2028 | 2015-03-11 |
| 1780950733 | Laura Nugent Bradley | Physician Assistant | 800 St. Vincent's Drive, Suite 700, Birmingham, AL 35205-1630 | 2012-03-23 |
| 1811290968 | Lacey Golden | Physician Assistant | 48 Medical Park Dr E Ste 255, Birmingham, AL 35235-3464 | 2010-12-13 |
| 1659693836 | Chelsea Bares | Physician Assistant | 2151 Highland Ave S Ste 200, Birmingham, AL 35205-4031 | 2010-02-16 |
| 1174797542 | Richard Gregory Winters | Physician Assistant | 701 19th Street South, Lhr 112, Birmingham, AL 35294-0001 | 2008-04-16 |
| 1972797686 | Vital Surg LLC | Physician Assistant | 1321 19th St S, Birmingham, AL 35205-4801 | 2007-09-05 |
| 1982710299 | Lisa Ledlow Kuntz | Physician Assistant | 52 Medical Park Drive East, Ste 307, Birmingham, AL 35235 | 2006-08-21 |
| 1114030947 | Iris Daniella Stuart | Physician Assistant | Uab Dept of Surgery Division of Plastic, Fot 1150 510 20th Street S., Birmingham, AL 35294-3411 | 2006-08-16 |
| 1184659393 | Linda Carolyn Langston | Physician Assistant | 1751 Charleston Way, Birmingham, AL 35216-4886 | 2006-07-12 |
| 1104889765 | Karen Elizabeth Connor | Physician Assistant | 3460 Manor Ln, #204, Birmingham, AL 35209-5666 | 2006-04-06 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
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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.