MR. JOSEPH MATTHEW JOHNSON (NPI# 1598821126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598821126 |
Entity Type | Individual |
Full Name | MR. JOSEPH MATTHEW JOHNSON |
Practice Address |
3720 W Whitehawk Ln Anthem AZ 85086-2794 |
Practice Telephone | 4802216350 |
Practice Fax Number | 6233223166 |
Mailing Telephone | 4802216350 |
Mailing Fax Number | 6233223166 |
Enumeration Date | 2006-12-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
10826 | AZ | Respite Care Facility |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346701117 | Joseph Johnson | Case Manager/Care Coordinator | 307 Sw C Ave, Lawton, OK 73501-4016 | 2019-03-26 |
1114418480 | Joseph H Johnson | Optometrist | 2831 W 1150 S, Syracuse, UT 84075-5114 | 2018-05-22 |
1619347945 | Joseph Johnson | Counselor | 9377 Delores Dr, Shreveport, LA 71118-3304 | 2015-09-29 |
1821486853 | Joseph Anthony Johnson | Counselor | 2091 Professional Dr Ste D, Flint, MI 48532-3657 | 2014-12-29 |
1336576602 | Joseph D. Johnson | Counselor | 448 Belleville St, New Orleans, LA 70114-1115 | 2013-10-02 |
1790042539 | Joseph Wong Johnson | Dentist | 8417 W 101st Street Cir, Bloomington, MN 55438-1914 | 2012-04-18 |
1134493455 | Joseph D Johnson | Chiropractor | 9170 E Bahia Dr Ste 108, Scottsdale, AZ 85260-1530 | 2012-03-05 |
1831467745 | Joseph Junior Johnson | Naturopath | 18 Reef Rd, Fairfield, CT 06824-5920 | 2011-12-06 |
1215180583 | Joseph Kelly Johnson | Pharmacist | 495 W Main St, Lebanon, KY 40033-1322 | 2008-10-30 |
1306007877 | Joseph N Johnson | Anesthesiology | 14 Tetilla Rd, Santa Fe, NM 87508-2203 | 2008-06-18 |
Street Address |
3720 W WHITEHAWK LN |
City | ANTHEM |
State | AZ |
Zip Code | 85086-2794 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
Find all providers in zip 85086 |
Taxonomy Code | 385HR2055X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Illness, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538301304 | Tara Berkley | Respite Care | 2461 W Kit Carson Trl, Anthem, AZ 85086-1878 | 2009-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
1285276345 | Charlyn Ponds | Respite Care | 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 | 2019-10-10 |
1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
Find all providers with the same taxonomy |
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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.