DR. EDWARD L JOHNSON (NPI# 1609920032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609920032 |
| Entity Type | Individual |
| Full Name | DR. EDWARD L JOHNSON |
| Credential | M.D. |
| Practice Address |
One Hurley Plaza Family Ambulatory Clinic Flint MI 48503 |
| Mailing Address |
1085 S Linden Rd Suite 150 Flint MI 48532-3421 |
| Practice Telephone | 8102579191 |
| Practice Fax Number | 8102579187 |
| Mailing Telephone | 8107323240 |
| Mailing Fax Number | 8102300280 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301050587 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD MI | OB56031 | 01 |
| MI | 4113290 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385708 | Edward Robert Johnson | Behavior Technician | West 6th Avenue Suite 1000, Lakewood, CO 80215-8021 | 2019-06-17 |
| 1477097368 | Edward C Johnson | Counselor | 24020 Plank Rd, Zachary, LA 70791-6429 | 2016-12-12 |
| 1245630375 | Edward Damon Johnson | Counselor | 1833 Marcia Dr, Orlando, FL 32807-6355 | 2014-08-26 |
| 1447592951 | Edward Arthur Johnson | Dentist | 841 S Dora St, Ukiah, CA 95482-5710 | 2013-03-22 |
| 1225394554 | Edward Merle Johnson II | Pharmacist | 100 Pier 1 Pl Ste 2001, Fort Worth, TX 76102 | 2012-04-11 |
| 1902079015 | Edward Alex Johnson | Pediatrics | 811 Redgate Ave, Norfolk, VA 23507-1515 | 2008-04-09 |
| 1639388705 | Edward Francis Johnson Jr. | Chiropractor | 14510 Lakeshore Dr, Clearlake, CA 95422 | 2007-05-22 |
| 1609093251 | Edward N. Johnson | Family Medicine | 308 Central Ave, Sault Sainte Marie, MI 49783-1102 | 2007-04-18 |
| 1487750964 | Edward L. Johnson | Dentist | 928 State Route 716, Ashland, KY 41102-9231 | 2006-09-15 |
| 1780691311 | Edward T. Johnson | Chiropractor | 600 John Sims Pkwy E, Niceville, FL 32578-2030 | 2006-08-03 |
| Street Address |
ONE HURLEY PLAZA FAMILY AMBULATORY CLINIC |
| City | FLINT |
| State | MI |
| Zip Code | 48503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902871742 | Kenneth Louis Wilson | Surgery | One Hurley Plaza, Flint, MI 48503 | 2006-02-22 |
| 1306469598 | Rohit Gupta | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2020-05-21 |
| 1679069926 | Melissa Ann Schmidt | Physical Therapist | One Hurley Plaza, Flint, MI 48503 | 2018-07-10 |
| 1992223549 | Berghan Leigh Days | Registered Nurse | One Hurley Plaza, Flint, MI 48503 | 2017-09-05 |
| 1659894954 | Anitha Kumari Yelangi | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-07-19 |
| 1902328826 | Varun Samji | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-07-12 |
| 1407378870 | Tarek Haykal | Internal Medicine | One Hurley Plaza, Flint, MI 48503 | 2017-07-07 |
| 1518489988 | Huda George Marcus | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-07-07 |
| 1265954622 | Sai Pavan Kumar Chintalapati | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-07-07 |
| 1043731862 | Ismail Kazmi | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952923575 | Onlinecarecom LLC | Internal Medicine | 4225 Miller Rd Ste 338, Flint, MI 48507-1257 | 2020-05-18 |
| 1063907020 | Shima Sidahmed | Internal Medicine | 1 Hurley Plz Ste 212, Flint, MI 48503-5902 | 2018-06-22 |
| 1114276474 | Orimisan Samuel Adekolujo | Internal Medicine | G-3230 Beecher Rd, Suite 2, Flint, MI 48532-3604 | 2012-09-02 |
| 1669729042 | Praveen Bheemanathini | Internal Medicine | 1 Hurley Plz # 3w, Flint, MI 48503-5902 | 2012-08-05 |
| 1982927018 | Internal Medicine Associates of Miller Rd | Internal Medicine | 5097 Miller Rd, Flint, MI 48507-1066 | 2010-03-03 |
| 1477784379 | Narendra Babu Veerapaneni | Internal Medicine | 801 Tuuri Pl Apt 106, Flint, MI 48503-2440 | 2009-07-27 |
| 1255569901 | Ramesh Chandra Yarlagadda | Internal Medicine | G3200 Beecher Rd, Suite 2, Flint, MI 48532-3651 | 2009-07-01 |
| 1942481643 | Mustafa H Mahmoud Hassan | Internal Medicine | 1335 S Linden Rd Ste A, Flint, MI 48532-3420 | 2007-11-21 |
| 1487845871 | Anusoumya Ganapathy | Internal Medicine | 3499 S Linden Rd #g, Suite 2, Flint, MI 48507 | 2007-08-09 |
| 1396935797 | Nada Abdelazim Abdelbasit | Internal Medicine | 5037 Corunna Rd, Flint, MI 48532 | 2007-07-31 |
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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.