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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
59800 | GA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1000 Cowles Clinc Way Ste C-200, Greensboro, GA 306425287 | 7065491663 | 7065468792 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
1765 OLD WEST BROAD ST |
City | ATHENS |
State | GA |
Zip Code | 30606-2853 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 30606 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
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 |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. STEPHEN B JOHNSON.
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.