DR. SHELSEA LEA JOHNSON (NPI# 1639146822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639146822 |
| Entity Type | Individual |
| Full Name | DR. SHELSEA LEA JOHNSON |
| Credential | MD |
| Practice Address |
1036 S Verity Pkwy Middletown OH 45044-5513 |
| Mailing Address |
300 High St Fl 4 Hamilton OH 45011-6078 |
| Practice Telephone | 5134541111 |
| Mailing Telephone | 5134541460 |
| Mailing Fax Number | 6143554469 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 35-08-4088 | OH | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
35-08-4088 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2506747 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1152 W 3rd St, Dayton, OH 454026812 | 9372683483 | 9372681884 |
| Street Address |
1036 S VERITY PKWY |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45044-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740833144 | Katelyn Kreke | Nurse Practitioner | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2019-07-24 |
| 1851956502 | Laura Brodt | Dietitian, Registered | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2019-05-08 |
| 1043771900 | Bradley Girdwood | Student in an Organized Health Care Education/Training Program | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2019-03-25 |
| 1073082020 | Renee Just | Dietitian, Registered | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2018-11-20 |
| 1740758804 | Rachael Marie Smith | Nurse Practitioner | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2018-11-07 |
| 1750869145 | Community First Pharmacy | Pharmacy | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2018-07-30 |
| 1386133320 | Beth Marie Reddix | Nurse Practitioner | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2018-05-04 |
| 1194213314 | Surya Chakravarthy Pamulapati | Student in an Organized Health Care Education/Training Program | 1036 S Verity Pkwy, Middletown, OH 45044 | 2018-04-23 |
| 1962918797 | Megan L Reeves | Social Worker | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2017-12-15 |
| 1700308608 | Suvarnamala Pushkaran | Clinical Nurse Specialist | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2017-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
| 1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
| 1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
| 1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
| 1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
| 1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
| 1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
| 1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
| Find all providers in zip 45044 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043553001 | Nathan Scott Jamieson | Pediatrics | Nch 700 Children's Drive, Columbus, OH 43205 | 2013-03-28 |
| 1104199884 | Roy M Kulick | Pediatrics | 529 Cochise Ct, Cincinnati, OH 45215-2519 | 2012-02-11 |
| 1073848321 | Dayton Children's Hospital | Pediatrics | 3333 West Tech Road, Miamisburg, OH 45342 | 2009-10-05 |
| 1689854051 | Advanced Pem Care | Pediatrics | 3577 N Shore Dr, Akron, OH 44333-8331 | 2007-11-13 |
| 1518185651 | Judith C Bausher | Pediatrics | 2093 Beech Grove Dr, Cincinnati, OH 45233-4915 | 2007-04-23 |
| 1962547935 | Richard T Strait | Pediatrics | 3333 W Tech Rd, Miamisburg, OH 45342-0955 | 2007-02-20 |
| 1811044167 | Scott M Bouton | Pediatrics | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2007-01-05 |
| 1609882125 | Seema R Bhatt | Pediatrics | 3333 Burnet Ave., Ml 2008, Cincinnati, OH 45229-3039 | 2006-08-01 |
| 1841284247 | John L Fortney | Pediatrics | 4439 State Route 159, Ste G10, Chillicothe, OH 45601-8207 | 2005-08-31 |
| 1952301715 | David J Sansoterra | Pediatrics | 6505 Market St, Boardman, OH 44512-3457 | 2005-07-22 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 45044 |
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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.