DR. STEPHEN B JOHNSON


Address: 1765 Old West Broad St, Athens, GA 30606-2853
Phone: 7065491663

DR. STEPHEN B JOHNSON (NPI# 1588787899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588787899
Entity Type Individual
Full Name DR. STEPHEN B JOHNSON
Credential DO
Practice Address 1765 Old West Broad St
Athens
GA 30606-2853
Mailing Address 1765 Old West Broad St Bldg 2-200
Athens
GA 30606-2887
Practice Telephone 7065491663
Practice Fax Number 7065468792
Mailing Telephone 7065491663
Mailing Fax Number 7065468792
Enumeration Date 2007-04-10
Last Update Date 2019-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
59800 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 Cowles Clinc Way Ste C-200, Greensboro, GA 306425287 7065491663 7065468792

Other Providers STEPHEN JOHNSON

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1962997072 Stephen Vaughn Johnson Case Management 5910 Nw 58th Steet, Oklahoma City, OK 73122 2018-06-30
1386138287 Stephen Johnson Anesthesiologist Assistant 157 Dawn Lauren Ln, Tallahassee, FL 32301-3415 2018-06-15
1306364609 Stephen Johnson Behavior Technician 9143 Plaza Park Dr, Elk Grove, CA 95624-2638 2017-09-07
1629514260 Stephen Michael Johnson Chiropractor 851 Orchard Rd, Red Bank, NJ 07701-5317 2017-01-06
1003178682 Stephen A Johnson Neurological Surgery 10 Plum St Dept Of, New Brunswick, NJ 08901-2065 2012-06-11
1528365459 Stephen Siewers Johnson Social Worker 1480 Oakbridge Ct., Powhatan, VA 23139 2011-02-11
1720231129 Stephen W. Johnson Dentist 9295 E. Thunderbird Rd, Suite 104, Scottsdale, AZ 85260 2008-10-29
1407079098 Stephen Andrew Johnson Speech-Language Pathologist 12650 Grey Eagle Ct, Apt. 14, Germantown, MD 20874-5318 2007-04-11
1245356005 Stephen Allen Johnson Counselor 1550 E Battlefield St Ste A, Springfield, MO 65804-3700 2007-03-22
1417088535 Stephen D Johnson Chiropractor 679 E Harbor St, Suite 140, Warrenton, OR 97146-9717 2007-03-08

Office Location

Street Address 1765 OLD WEST BROAD ST
City ATHENS
State GA
Zip Code 30606-2853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518948835 Ormonde M Mahoney Orthopaedic Surgery 1765 Old West Broad St, Athens, GA 30606-2853 2005-11-14
1245858448 Adam Schreiber Physical Therapy Assistant 1765 Old West Broad St, Athens, GA 30606-2853 2020-07-14
1164053229 Quinavere Jarrells Specialist/Technologist, Other 1765 Old West Broad St, Athens, GA 30606-2853 2020-01-28
1558915884 Kelli Whitfield Garrett Specialist/Technologist, Other 1765 Old West Broad St, Athens, GA 30606-2853 2019-07-25
1427517523 Kayla Michele Gittens Occupational Therapist 1765 Old West Broad St, Athens, GA 30606-2853 2019-03-18
1568942738 Brandon Scott Vlahos Physician Assistant 1765 Old West Broad St, Athens, GA 30606-2887 2018-08-17
1114404589 Clayton O Carroll Physical Therapist 1765 Old West Broad St, Athens, GA 30606-2853 2018-07-27
1376039578 Micah Lee Sales Physical Therapist 1765 Old West Broad St, Athens, GA 30606-2853 2018-07-11
1508356130 Paul Michael Lally Physical Therapist 1765 Old West Broad St, Athens, GA 30606-2853 2018-05-18
1316450216 Caroline B Batson Specialist/Technologist, Other 1765 Old West Broad St, Athens, GA 30606-2853 2017-11-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942816962 Kofi Darkwa Seffah Student in an Organized Health Care Education/Training Program 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 2020-09-16
1831712363 Rebecca John Licensed Practical Nurse 240 Mitchel Bridge Road, Athens, GA 30606 2020-05-19
1497375612 Alfred Ka-shing Wong Student in an Organized Health Care Education/Training Program 1270 Prince Ave Suite 201, Athens, GA 30606 2020-04-17
1881223956 Lauren Fesperman Nurse Practitioner 242 King Ave Ste 130, Athens, GA 30606 2020-04-02
1255966081 Westminster Presbyterian Homes, Inc. Skilled Nursing Facility 1400 Live Oak Ln, Building 100, Athens, GA 30606 2020-03-12
1255981700 Carol Cameron Cready-pyle Social Worker 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 2019-09-17
1013576016 Lauren Gruendling Nurse Practitioner 242 King Avenue, Suite 210, Athens, GA 30606 2019-06-12
1760045223 Dominic Ofosu Amakye Student in an Organized Health Care Education/Training Program 1270 Prince Avenue Suite 201, Athens, GA 30606 2019-04-19
1740740422 Juan G Salazar Castillo Student in an Organized Health Care Education/Training Program Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 2019-03-20
1750869020 Jennifer Emily Chapman Physical Therapist 1021 Parkway Blvd Ste 101, Athens, GA 30606 2018-07-30
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194708347 Robert E Hancock Orthopaedic Surgery 1500 Oglethorpe Ave Ste 500b, Athens, GA 30606 2005-11-22
1962484147 Raleigh Mixon Robinson Orthopaedic Surgery 1765 Old West Broad St, Bldg 2, Ste 200, Athens, GA 30606-2853 2005-11-15
1639150931 William B Mulherin Orthopaedic Surgery 1765 Old West Broad St, Bldg 2, Ste. 200, Athens, GA 30606-2867 2005-11-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326679671 Barbour Orthopaedics & Sports Medicine PC Orthopaedic Surgery 965 Oakland Rd Ste C, Lawrenceville, GA 30044-3758 2020-01-27
1932730298 Barbour Orthopaedics & Sports Medicine PC Orthopaedic Surgery 1100 Northside Forsyth Dr Ste 360, Cumming, GA 30041-6022 2020-01-27
1275094310 Mariolino Da Graca Fernandes Orthopaedic Surgery 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 2019-03-29
1437601598 Optim Orthopedics LLC Orthopaedic Surgery 460 Mall Blvd Ste B, Savannah, GA 31406-4801 2016-10-25
1750753182 Zachary Russell Orthopaedic Surgery 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 2015-10-26
1396121315 2 Bare Bones Medical LLC Orthopaedic Surgery 11102 Abercorn St, Savannah, GA 31419-1822 2015-07-31
1578985180 Brandon Dobo Orthopaedic Surgery 410 Brookhaven Way Ne, Atlanta, GA 30319-3177 2014-01-16
1306102785 Elan J Golan Orthopaedic Surgery 1800 Tree Ln Ste 140, Snellville, GA 30078-6799 2012-04-10
1235405747 Pinnacle Orthopaedics & Sports Medicine Specia Orthopaedic Surgery 1000 Chastain Road, Building II, Kennesaw, GA 30144-0000 2012-03-29
1346413648 Mathew William Pombo Orthopaedic Surgery 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096-1417 2008-04-08
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Competitor

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City ATHENS
Zip Code 30606

Improve Information

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Dataset Information

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.

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