KEITH EWING JOHNSON (NPI# 1609880806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609880806 |
| Entity Type | Individual |
| Full Name | KEITH EWING JOHNSON |
| Credential | MD |
| Practice Address |
178 Clizbe Ave Amsterdam NY 12010-7520 |
| Practice Telephone | 5188438745 |
| Practice Fax Number | 5188429633 |
| Mailing Telephone | 5188438745 |
| Mailing Fax Number | 5188429633 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 240532-1 | NY | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | C1-0008872 | DE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
| 1780937821 | Keith Michael Johnson | Counselor | 16812 127th Ave, Apt # 7e, Jamaica, NY 11434-3152 | 2012-10-25 |
| 1467628792 | Keith Emery Johnson | General Practice | 1111 Quewhiffle Rd, Aberdeen, NC 28315-5377 | 2008-05-06 |
| 1336330810 | Keith David Johnson | Dentist | 26 S Village Dr, Liberty, MO 64068 | 2007-08-08 |
| 1952529133 | Keith E Johnson | Dentist | 13270 Big Basin Way, Boulder Creek, CA 95006 | 2007-04-23 |
| 1700929031 | Keith Vincent Johnson | Specialist/Technologist | 13 Fahnestock Rd, Malvern, PA 19355-2104 | 2007-02-15 |
| 1972669646 | Keith Johnson | Physical Therapist | 2301 Morningside Dr, Jonesboro, AR 72404-8050 | 2006-12-28 |
| 1467514588 | Keith W.v. Johnson | Orthopaedic Surgery | 6701 Lake Woodlands Dr, 101, The Woodlands, TX 77382-2566 | 2006-12-14 |
| 1568553147 | Keith Michael Johnson | Chiropractor | 13700 83rd Way N, #200, Maple Grove, MN 55369-7015 | 2006-09-27 |
| 1487616967 | Keith Patrick Johnson | Specialist | 85 Harristown Road, Suite 103, Glen Rock, NJ 07452 | 2006-04-03 |
| Street Address |
178 CLIZBE AVE |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 12010-7520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850811 | Katherine Bae Hourigan | Anesthesiology | 178 Clizbe Ave, Amsterdam, NY 12010-2935 | 2005-06-13 |
| 1245616655 | Cassandra Ruth Berghammer | Physical Therapist | 178 Clizbe Ave, Amsterdam, NY 12010-2935 | 2015-08-07 |
| 1760737936 | Megan Marie Bucci | Physical Therapist | 178 Clizbe Ave, Amsterdam, NY 12010-2935 | 2012-07-13 |
| 1871807958 | Jennifer Marie Tatlock | Physical Therapist | 178 Clizbe Ave, Amsterdam, NY 12010-2935 | 2010-08-02 |
| 1326129081 | Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | 178 Clizbe Ave, Amsterdam, NY 12010-2935 | 2006-10-18 |
| 1770684532 | Myung W Surh | Anesthesiology | 178 Clizbe Ave, Amsterdam, NY 12010-7520 | 2006-09-26 |
| 1811090467 | Mohawk Valley Medical Anesthesiology Associates, Pllc | Anesthesiology | 178 Clizbe Ave, Amsterdam, NY 12010-7520 | 2006-09-07 |
| 1023124716 | Albert Angus Fraser | Anesthesiology | 178 Clizbe Ave, Amsterdam, NY 12010-7520 | 2006-08-22 |
| 1427164219 | Jian Zhao | Anesthesiology | 178 Clizbe Ave, Amsterdam, NY 12010-7520 | 2006-08-22 |
| 1518920297 | Shelley Smith Brahler | Physical Therapist | 178 Clizbe Ave, Amsterdam, NY 12010-2935 | 2006-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863816 | Julia Subik | Nurse Practitioner | 3768 Ny-30, Amsterdam, NY 12010 | 2020-08-26 |
| 1124674957 | Jessica Lee Benoit | Family Medicine | 5010 Ny-30, Amsterdam, NY 12010 | 2019-08-16 |
| 1679138986 | Martha Maria Staring | Counselor | 4988 Ny-30, Amsterdam, NY 12010 | 2019-05-02 |
| 1982169991 | Courtney Caralynn Paton | Nurse Practitioner | 446 B Guy Park Avenue, Amsterdam, NY 12010 | 2019-02-04 |
| 1053845628 | Linda Sue Sperow | Registered Nurse | 341 Church St., Amsterdam, NY 12010 | 2017-04-20 |
| 1376902734 | Nysarc Inc Montgomery County Chapter Liberty | Clinic/Center | 47 Liberty Dr, Amsterdam, NY 12010 | 2016-02-15 |
| 1780050880 | Pamela T Wadsworth | Occupational Therapist | 47 Liberty Drive, Amsterdam, NY 12010 | 2015-08-12 |
| 1366791600 | Nicole Cadwell | Licensed Practical Nurse | 34 Finlay St, Amsterdam, NY 12010 | 2012-08-31 |
| 1700147428 | Noah Reiss Md PC | Allergy & Immunology | 4456 State Hwy 30, Amsterdam, NY 12010 | 2012-05-30 |
| 1265723738 | Amy Martelle | Speech-Language Pathologist | 11 Liberty Street, Greater Amsterdam School District, Amsterdam, NY 12010 | 2011-05-02 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850811 | Katherine Bae Hourigan | Anesthesiology | 178 Clizbe Ave, Amsterdam, NY 12010-2935 | 2005-06-13 |
| 1770684532 | Myung W Surh | Anesthesiology | 178 Clizbe Ave, Amsterdam, NY 12010-7520 | 2006-09-26 |
| 1811090467 | Mohawk Valley Medical Anesthesiology Associates, Pllc | Anesthesiology | 178 Clizbe Ave, Amsterdam, NY 12010-7520 | 2006-09-07 |
| 1023124716 | Albert Angus Fraser | Anesthesiology | 178 Clizbe Ave, Amsterdam, NY 12010-7520 | 2006-08-22 |
| 1427164219 | Jian Zhao | Anesthesiology | 178 Clizbe Ave, Amsterdam, NY 12010-7520 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467317 | Tudor Onisei Medical, P.C. | Anesthesiology | 9229 Queens Blvd Ste 1a, Rego Park, NY 11374-1099 | 2020-11-06 |
| 1912506940 | Mohammed Ghoneim | Anesthesiology | 1001 Main St # K3502, Buffalo, NY 14203-1009 | 2020-10-21 |
| 1083223887 | General Anesthesia Medical Specialists, Pllc | Anesthesiology | 100 Crossways Park Dr W Ste 206a, Woodbury, NY 11797-2012 | 2020-07-28 |
| 1972128700 | Seeminder Brar | Anesthesiology | Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 | 2020-06-08 |
| 1710500327 | Spartan Anesthesia Pllc | Anesthesiology | 7103 170th St, Fresh Meadows, NY 11365-3333 | 2020-05-19 |
| 1962031542 | Sana Annan | Anesthesiology | 195 Holden St, Buffalo, NY 14214 | 2020-04-06 |
| 1740816339 | Jpk Anesthesia Services PC | Anesthesiology | 2200 Northern Blvd Ste 100d, Greenvale, NY 11548-1219 | 2020-03-16 |
| 1265072599 | Brooklyn Court Street Medical PC | Anesthesiology | 50 Court St Ste 1120, Brooklyn, NY 11201-4879 | 2020-01-15 |
| 1255978102 | Steven F Macharola Md Pllc | Anesthesiology | 42 Buttonwood Dr, Dix Hills, NY 11746-4835 | 2019-12-10 |
| 1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
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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.