BLAKE G JOHNSON (NPI# 1619913381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619913381 |
| Entity Type | Individual |
| Full Name | BLAKE G JOHNSON |
| Credential | M.D. |
| Practice Address |
738 N College Rd Suite A Twin Falls ID 83301-3385 |
| Mailing Address |
Po Box 587 Twin Falls ID 83303-0587 |
| Practice Telephone | 2088147000 |
| Practice Fax Number | 2087347294 |
| Mailing Telephone | 2088147400 |
| Mailing Fax Number | 2088147491 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | M7285 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 804193700 | 05 | |
| ID | MCRR | P00654623 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154733004 | Blake Ashton Johnson | Emergency Medicine | 13737 Noel Rd Ste 1200, Dallas, TX 75240-1335 | 2014-05-27 |
| 1497389142 | Blake Elliot Johnson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-03-02 |
| 1396393021 | Blake Jeffrey Johnson | Social Worker | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 | 2019-08-27 |
| 1174086847 | Blake Ryan Johnson | Pharmacist | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2019-04-10 |
| 1326526906 | Blake Johnson | Occupational Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2018-08-05 |
| 1659889368 | Blake Johnson | Physician Assistant | 804 22nd Ave, Kearney, NE 68845-2206 | 2018-01-16 |
| 1164938288 | Blake Allan Johnson | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-12-27 |
| 1275075269 | Blake Quinton Johnson | Social Worker | 506 W Jackman St, Lancaster, CA 93534-2531 | 2016-11-08 |
| 1881147809 | Blake Emil Johnson | Pharmacist | 1501 San Pedro Dr Se, Pharmacy Service 119, Albuquerque, NM 87108-5153 | 2016-07-26 |
| 1881077980 | Blake Alan Johnson | Dentist | 124 3rd St, Marietta, OH 45750-3108 | 2015-07-07 |
| Street Address |
738 N COLLEGE RD SUITE A |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669423539 | Tyler R Wayment | Orthopaedic Surgery | 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | 2006-05-15 |
| 1780106161 | Makenna Lee Turk | Specialist/Technologist | 738 N College Rd, Twin Falls, ID 83301-3385 | 2017-07-07 |
| 1750783064 | Jessica Viehweg Taylor | Physician Assistant | 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | 2014-09-17 |
| 1467747618 | Jessica Lee Ziebarth | Physical Medicine & Rehabilitation | 738 N College Rd, Suite C, Twin Falls, ID 83301-3385 | 2011-06-16 |
| 1851531289 | Justin Moroni Dazley | Orthopaedic Surgery | 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | 2009-02-25 |
| 1346436367 | Jonathan David Myers | Physical Medicine & Rehabilitation | 738 N College Rd, Suite C, Twin Falls, ID 83301-3385 | 2007-09-24 |
| 1962419770 | Kim Cheri Wiggins | Physical Medicine & Rehabilitation | 738 N College Rd, Suite C, Twin Falls, ID 83301-3385 | 2006-08-02 |
| 1720016231 | William F May | Orthopaedic Surgery | 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | 2006-06-30 |
| 1609802339 | James M Retmier | Orthopaedic Surgery | 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | 2006-06-24 |
| 1558306589 | Richard J Hammond | Psychiatry & Neurology | 738 N College Rd, Suite C, Twin Falls, ID 83301-3385 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940125 | John W Howar | Orthopaedic Surgery | 714 N College Rd, Suite A, Twin Falls, ID 83301-5812 | 2005-05-24 |
| 1356803746 | William F May Md Pa | Orthopaedic Surgery | 115 Falls Ave W, Twin Falls, ID 83301-3115 | 2019-04-03 |
| 1225359474 | Toby L Anderton | Orthopaedic Surgery | 2167 Village Park Ave, Suite 200, Twin Falls, ID 83301 | 2010-06-22 |
| 1851531289 | Justin Moroni Dazley | Orthopaedic Surgery | 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | 2009-02-25 |
| 1720016231 | William F May | Orthopaedic Surgery | 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | 2006-06-30 |
| 1609802339 | James M Retmier | Orthopaedic Surgery | 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | 2006-06-24 |
| 1295778223 | Mark B Wright | Orthopaedic Surgery | 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | 2006-06-14 |
| 1225075245 | Rmj Safari,p.l.l.c. | Orthopaedic Surgery | 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | 2006-05-31 |
| 1306899646 | Rohn Tyler Mckee | Orthopaedic Surgery | 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101594 | Brittney Davis | Orthopaedic Surgery | 5910 W Targee St, Boise, ID 83709-3151 | 2020-07-08 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1942668157 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 1789 S Broadway Ave, Suite 100, Boise, ID 83706-3800 | 2016-02-02 |
| 1053779264 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 | 2016-02-02 |
| 1841611027 | Christopher Frederic Jessen | Orthopaedic Surgery | 5475 E Shoreline Dr, Post Falls, ID 83854-6858 | 2013-12-14 |
| 1881934404 | Kym Orthopedics Pllc | Orthopaedic Surgery | 3316 4th St #4b, Lewiston, ID 83501-4405 | 2013-02-19 |
| 1891056826 | Jonathan Klaucke | Orthopaedic Surgery | 606 N Third Ave Ste 201, Sandpoint, ID 83864 | 2012-06-06 |
| 1508168139 | Lyman Orthopedics Pllc | Orthopaedic Surgery | 1875 N Lakewood Dr, Suite 200, Coeur D Alene, ID 83814-4928 | 2010-12-02 |
| 1639495708 | Krysten Marie Bell | Orthopaedic Surgery | 2178 S Myers Pl, Boise, ID 83706-5503 | 2010-04-14 |
| 1700114725 | David Louis Schenkar | Orthopaedic Surgery | 110 E Gulch Rd, Hailey, ID 83333-8496 | 2009-12-02 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.