GLENDA JOHNSON (NPI# 1679576243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679576243 |
| Entity Type | Individual |
| Full Name | GLENDA JOHNSON |
| Credential | MD |
| Practice Address |
2400 Hospital Dr Suite 240 Bossier City LA 71111-2385 |
| Practice Telephone | 3187425800 |
| Practice Fax Number | 3187413902 |
| Mailing Telephone | 3187425800 |
| Mailing Fax Number | 3187413902 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2007-12-21 |
| NPI Deactivation Date | 03/17/2006 |
| NPI Reactivation Date | 2006-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 14496R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1125539 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156691 | Glenda Johnson | Licensed Vocational Nurse | 6133 Sherwood Way Apt 1215, San Angelo, TX 76901-5634 | 2018-03-03 |
| 1689832420 | Glenda Alise Johnson | Nursing Home Administrator | 13514 Kelso Ave, Cleveland, OH 44110 | 2008-05-29 |
| 1164914230 | Glenda Lanae Johnson | Technician, Other | 795 Folsom St Fl 1, San Francisco, CA 94107-4226 | 2018-06-04 |
| 1811393580 | Glenda Johnson | Dietitian, Registered | 2021 Perdido St, New Orleans, LA 70112-1352 | 2014-11-07 |
| 1215248760 | Glenda Byrd Johnson | Speech-Language Pathologist | 1087 13th St Se, Hickory, NC 28602-4165 | 2010-06-30 |
| Street Address |
2400 HOSPITAL DR SUITE 240 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679126866 | Emily Rene Maddox | Nurse Practitioner | 2400 Hospital Dr, Bossier City, LA 71111-2385 | 2019-07-17 |
| 1689112526 | Guidco Medical, LLC | Hospitalist | 2400 Hospital Dr, Suite 130, Bossier City, LA 71111-2385 | 2017-02-10 |
| 1902258312 | Planchard Eye & Laser Center, L.L.C. | Ophthalmology | 2400 Hospital Dr, Suite 100, Bossier City, LA 71111-2385 | 2016-07-09 |
| 1558715367 | Joel Anthony Casale | Internal Medicine | 2400 Hospital Dr, Bossier City, LA 71111-2385 | 2016-04-18 |
| 1124482120 | Rachel Branton | Nurse Practitioner | 2400 Hospital Dr, Ste. 120, Bossier City, LA 71111-2385 | 2016-04-06 |
| 1619363116 | Lea J. Rimmer | Nurse Practitioner | 2400 Hospital Dr, Suite 340, Bossier City, LA 71111-2385 | 2015-04-10 |
| 1336576529 | Wk Neurology Clinic | Psychiatry & Neurology | 2400 Hospital Dr, Suite 310, Bossier City, LA 71111-2385 | 2013-10-02 |
| 1255763173 | Laura Michelle Mahaffey | Nurse Practitioner | 2400 Hospital Dr, Suite 340, Bossier City, LA 71111-2385 | 2013-08-01 |
| 1982047932 | Khalid Bin Ahmed Baosman | Internal Medicine | 2400 Hospital Dr, Suite 130, Bossier City, LA 71111-2385 | 2013-04-09 |
| 1841552338 | Deepika Reddy Ralla | Internal Medicine | 2400 Hospital Dr, Suite 130, Bossier City, LA 71111-2385 | 2012-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700206125 | Karen Lillich Berken | Obstetrics & Gynecology | 2400 Hospital Dr Ste 240, Bossier City, LA 71111-2390 | 2014-04-24 |
| 1356986178 | Womens Health Specialists of Bossier | Obstetrics & Gynecology | 2400 Hospital Dr Ste 400, Bossier City, LA 71111-2401 | 2019-11-15 |
| 1245623040 | Wk Bossier Ob Gyn Specialists | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 350, Bossier City, LA 71111-2394 | 2015-03-18 |
| 1952675969 | Dale V Bauman Dr Dale V Bauman Md | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 310, Bossier City, LA 71111-2166 | 2012-03-08 |
| 1215129507 | Willis-knighton Medical Center, Inc. | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 140, Bossier City, LA 71111-2394 | 2007-08-10 |
| 1740482504 | Gina Gomez | Obstetrics & Gynecology | 2400 Hospital Dr, Suite 240, Bossier City, LA 71111-2385 | 2007-06-04 |
| 1063529410 | Tandy W Mcelwee Jr. | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 140, Bossier City, LA 71111-2394 | 2006-08-23 |
| 1790790467 | Wk Womens Health Associates | Obstetrics & Gynecology | 2400 Hospital Dr, Suite 240, Bossier City, LA 71111-2385 | 2006-07-30 |
| 1841222619 | Harry J Mobley Md and Willis-knighton Medical Center | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 340, Bossier City, LA 71111-2394 | 2006-07-06 |
| 1427088988 | Katherine Leslie Dean | Obstetrics & Gynecology | 2400 Hospital Dr, Suite 240, Bossier City, LA 71111-2385 | 2006-07-03 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on GLENDA JOHNSON.
| 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.