MICHAEL JOHNSON (NPI# 1669931705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669931705 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHNSON |
| Credential | PA |
| Practice Address |
840 E Hill Ave Moses Lake WA 98837-2238 |
| Mailing Address |
820 N Chelan Ave Wenatchee WA 98801-2028 |
| Practice Telephone | 5096638711 |
| Mailing Telephone | 5096638711 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA61018488 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
| 1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
| Street Address |
840 E HILL AVE |
| City | MOSES LAKE |
| State | WA |
| Zip Code | 98837-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539256 | Kimberlee Elizabeth Poole | Nurse Practitioner | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2005-06-23 |
| 1366041188 | Breanne Mcintyre | Dietitian, Registered | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2020-10-22 |
| 1164036224 | Jennipher Colas | Physician Assistant | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2020-09-04 |
| 1609431709 | Andrew James Nielsen | Physician Assistant | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2019-05-03 |
| 1609340074 | Reaghan Kathleen Siebein | Nurse Practitioner | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2019-01-18 |
| 1578036315 | Rachel M Ebeling | Counselor | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2019-01-04 |
| 1891267951 | Darren Scott Trofibio | Nurse Practitioner | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2018-12-28 |
| 1083166813 | Braeden R Cook | Nurse Practitioner | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2016-10-27 |
| 1942650437 | Kelley L Drayer | Counselor | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2016-06-15 |
| 1649627241 | Sheri Finn | Family Medicine | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2016-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447097 | Lateef Ajani Olaniyan | Pharmacist | 2709 W Broadway Avenue, Southgate Pharmacy, Moses Lake, WA 98837 | 2018-02-19 |
| 1982117651 | Amanda M Cross | Massage Therapist | 2200 S. Maiers Rd., Suite B, Moses Lake, WA 98837 | 2017-11-15 |
| 1962928200 | E & H Holdings, LLC | Family Medicine | 708 E Penn St, Moses Lake, WA 98837 | 2017-08-18 |
| 1912366881 | Tara L Zamarron | Nurse Practitioner | 1550 S. Pioneer Way, Samaritan Family Physicians, Moses Lake, WA 98837 | 2016-02-19 |
| 1124401732 | Christian Mmadibuobu Okafor | Dentist | 605 South Coolidge Street, Moses Lake Community Health Center, Moses Lake, WA 98837 | 2015-06-30 |
| 1790182004 | Tari Ann Devaney | Dental Hygienist | 605 Coolidge Drive, Moses Lake, WA 98837 | 2014-12-02 |
| 1356746150 | Anna Marie Peterson | Counselor | 814 S. Wilder St., Moses Lake, WA 98837 | 2014-10-23 |
| 1699119495 | Geoffrey T. Ping D.d.s. and Asia Dela Cruz D.d.s. Pllc | Dentist | 800 N. Stratford Rd., Moses Lake, WA 98837 | 2013-04-23 |
| 1831433325 | George Kenyon Exeter | Physical Therapy Assistant | 817 E Plum Ave, Moses Lake, WA 98837 | 2012-11-21 |
| 1114219698 | Sound Oxygen Service Inc | Durable Medical Equipment & Medical Supplies | 1010 S Pioneer Way Ste C, Moses Lake, WA 98837 | 2011-05-03 |
| Find all providers in zip 98837 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588744312 | Robert Ebel | Physician Assistant | 8420 Aspi Blvd Ste 1, Moses Lake, WA 98837-3601 | 2006-10-16 |
| 1881642197 | Paula Renee Moreno | Physician Assistant | 1550 S Pioneer Way Ste 100, Moses Lake, WA 98837 | 2006-05-05 |
| 1306842307 | Leroy Keith Vandyke | Physician Assistant | 3322 Road N Ne, Moses Lake, WA 98837-9505 | 2005-06-23 |
| 1497362354 | Brian Bozhen Zhao | Physician Assistant | 605 S Coolidge St, Moses Lake, WA 98837-1873 | 2020-09-24 |
| 1164036224 | Jennipher Colas | Physician Assistant | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2020-09-04 |
| 1487216420 | Sierra Butler | Physician Assistant | 605 S Coolidge St, Moses Lake, WA 98837-1893 | 2019-06-29 |
| 1609431709 | Andrew James Nielsen | Physician Assistant | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2019-05-03 |
| 1730662487 | Tatyana Timofeyev | Physician Assistant | 605 S Coolidge St, Moses Lake, WA 98837 | 2018-09-10 |
| 1508343732 | Tyson Andelin | Physician Assistant | 605 S Coolidge St, Moses Lake, WA 98837-1893 | 2018-07-20 |
| 1427562172 | Cheyenne Faeh | Physician Assistant | 8420 Aspi Blvd Ste 1, Moses Lake, WA 98837-3601 | 2017-11-16 |
| Find all providers in MOSES LAKE | ||||
| City | MOSES LAKE |
| Zip Code | 98837 |
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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.