ANNA BLAIR JOHNSON (NPI# 1699034603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699034603 |
| Entity Type | Individual |
| Full Name | ANNA BLAIR JOHNSON |
| Credential | MD |
| Practice Address |
1450 Matthews Township Pkwy Ste 355 Matthews NC 28105-4300 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043331259 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2018-00968 | NC | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 2018-00968 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 183548 | NC | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Manning Dr, Dept of Surg Burnett-womack Bldg Cb #7050, Chapel Hill, NC 27514 | 9199664653 | 9199667841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083183958 | Anna May Loraine Johnson | Audiologist-Hearing Aid Fitter | 209 Ferry St Ste C, Sedro Woolley, WA 98284-1462 | 2018-11-20 |
| 1073097986 | Anna Johnson | Dietitian, Registered | 3523 N Roxboro St Apt 9c, Durham, NC 27704-2760 | 2018-09-18 |
| 1508389396 | Anna Johnson | Social Worker | 7162 Reading Rd Suite 300, Cincinnati, OH 45237 | 2017-07-24 |
| 1699227454 | Anna Johnson | Physical Therapy Assistant | 1510 E. 10th St, Atlantic, IA 50022 | 2016-10-27 |
| 1871980490 | Anna Maria Johnson | Speech-Language Pathologist | 30 Privateer Dr, Corte Madera, CA 94925-1933 | 2015-04-21 |
| 1215340112 | Anna M Johnson | Licensed Practical Nurse | 120 Seeley Ave, Syracuse, NY 13205-2741 | 2014-06-09 |
| 1740602010 | Anna Rachel Johnson | Speech-Language Pathologist | 5574 Coyote Ct, Carlsbad, CA 92010-7156 | 2014-01-06 |
| 1427323179 | Anna Rita Johnson | Social Worker | 2814 W Martin Luther King Jr Blvd, Los Angeles, CA 90008-2748 | 2012-03-14 |
| 1366740169 | Anna Eileen Johnson | Counselor | 12355 Hymeadow Dr., Suite 450, Austin, TX 78750 | 2011-03-03 |
| 1306914361 | Anna M Johnson | Counselor | 1202 23rd Street South, Fargo, ND 58103 | 2006-11-30 |
| Street Address |
1450 MATTHEWS TOWNSHIP PKWY STE 355 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932634979 | Meghan Doren Collins | Physician Assistant | 1450 Matthews Township Pkwy Ste 355, Matthews, NC 28105-4300 | 2017-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447861968 | Carolina Colon & Rectal Specialists Pa | Colon & Rectal Surgery | 3049 Senna Dr, Matthews, NC 28105-6727 | 2020-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493239 | William Alfred Walker | Colon & Rectal Surgery | 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1200 | 2005-11-04 |
| 1295178986 | Melissa Silva Zoumberos | Colon & Rectal Surgery | 14 Medical Park Dr, Asheville, NC 28803 | 2013-04-11 |
| 1821358748 | Warqaa M Akram | Colon & Rectal Surgery | 600 Moye Blvd, Greenville, NC 27834-4300 | 2012-05-24 |
| 1285952002 | Benny Yee-chun Chong | Colon & Rectal Surgery | 200 Medical Park Dr, Suite 400, Concord, NC 28025-2982 | 2010-05-05 |
| 1629395579 | Nicole Chaumont | Colon & Rectal Surgery | 101 Manning Dr, Dept of Surgery Cb#7050, Chapel Hill, NC 27514 | 2010-04-30 |
| 1811166549 | Western Wake Surgical PC | Colon & Rectal Surgery | 155 Parkway Office Ct, Suite 101, Cary, NC 27518-7427 | 2008-02-27 |
| 1023296647 | Carolina Colorectal Surgery, PC | Colon & Rectal Surgery | 2501 Atrium Dr, Suite 305, Raleigh, NC 27607-6452 | 2008-02-06 |
| 1003937079 | Kevin Kasten | Colon & Rectal Surgery | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2007-04-03 |
| 1497702773 | Edmund Rutherford J Rutherford | Colon & Rectal Surgery | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2006-05-30 |
| 1831155738 | Charlotte Colon & Rectal Surgery Associates Pa | Colon & Rectal Surgery | 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1200 | 2006-04-21 |
| Find all providers with the same taxonomy | ||||
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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.