DR. JEREMY CLYDE JOHNSON (NPI# 1700823085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700823085 |
Entity Type | Individual |
Full Name | DR. JEREMY CLYDE JOHNSON |
Credential | M.D. |
Practice Address |
214 18th St Se Hickory NC 28602-1363 |
Mailing Address |
4601 Park Rd Suite 300 Charlotte NC 28209-3239 |
Practice Telephone | 7043232000 |
Mailing Telephone | 7043232000 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2012-04-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 9901552 | NC | Allopathic & Osteopathic Physicians |
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
9901552 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | DEA NUMBER | BJ6637295 | 01 |
NC | 89137X6 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285243493 | Jeremy Johnson | Specialist/Technologist, Other | 1016 Winding Way Dr, Georgetown, TX 78628-5201 | 2020-07-24 |
1801421409 | Jeremy Ray Johnson | Chiropractor | 4155 N Steele Blvd Ste 10, Fayetteville, AR 72703-5377 | 2020-03-04 |
1578197984 | Jeremy Ezra Johnson | Specialist/Technologist | 331 Tramway Dr # 16, Stateline, NV 89449-9812 | 2020-02-24 |
1194368779 | Jeremy Paul Johnson | Acupuncturist | 1500 W Farwell Ave Apt 3, Chicago, IL 60626-3666 | 2019-10-25 |
1457838922 | Jeremy Braxton Johnson | Dietitian, Registered | 283 Walnut St, Baxley, GA 31513-0954 | 2018-07-26 |
1306384524 | Jeremy Johnson | Physical Therapy Assistant | 653 Golden Trl, Cave City, AR 72521-9432 | 2017-02-08 |
1992186530 | Jeremy Johnson | Student in an Organized Health Care Education/Training Program | 1141 154th Ave Ne, Mayville, ND 58257 | 2015-06-09 |
1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
1811374549 | Jeremy V Johnson | Family Medicine | 500b Jefferson Blvd Ste 180, West Sacramento, CA 95605-2394 | 2015-05-01 |
1902200660 | Jeremy Johnson | Counselor | 1022 N Prospect St, Bowling Green, OH 43402-1335 | 2014-10-09 |
Street Address |
214 18TH ST SE |
City | HICKORY |
State | NC |
Zip Code | 28602-1363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144293143 | Russell V Gilchrist | Physical Medicine & Rehabilitation | 214 18th St Se, Hickory, NC 28602-1363 | 2006-02-09 |
1023573771 | Lacy Peterson | Physical Therapist | 214 18th St Se, Hickory, NC 28602-1363 | 2019-02-07 |
1770047102 | Hannah Hodge | Physician Assistant | 214 18th St Se, Hickory, NC 28602-1363 | 2019-01-30 |
1598288631 | Claire Elizabeth Bingham | Physical Therapist | 214 18th St Se, Hickory, NC 28602-1363 | 2017-07-20 |
1679010904 | Kyle Fox | Physician Assistant | 214 18th St Se, Hickory, NC 28602-1363 | 2017-01-25 |
1215484613 | Kathryn Jones | Nurse Practitioner | 214 18th St Se, Hickory, NC 28602-1363 | 2016-09-02 |
1740655257 | Randall Stepp | Specialist/Technologist | 214 18th St Se, Hickory, NC 28602-1363 | 2015-12-09 |
1225380033 | Anthony Albert Mirovsky II | Physical Therapist | 214 18th St Se, Hickory, NC 28602-1363 | 2012-10-04 |
1932454469 | Dalan D Garcia | Physician Assistant | 214 18th St Se, Hickory, NC 28602-1363 | 2012-07-20 |
1346518073 | Orthocarolina, Pa | Orthopaedic Surgery | 214 18th St Se, Hickory, NC 28602-1363 | 2011-12-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
Find all providers in zip 28602 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902241805 | Ian Al'khafaji | Orthopaedic Surgery | 2719 Reynolda Rd, Winston Salem, NC 27106 | 2013-05-06 |
1821354812 | Sunny Patel | Orthopaedic Surgery | 1234 Huffman Mill Rd Dept Of, Burlington, NC 27215 | 2012-04-04 |
1174763981 | Brett Andrew Fritsch | Orthopaedic Surgery | Duke Sports Medicine Ctr, 300 Frank Bassett Drive, Durham, NC 27710-0001 | 2009-03-06 |
1033366885 | Scotland Orthopedics, Pa | Orthopaedic Surgery | 410 D South Jones Street, Pembroke, NC 28372 | 2008-08-23 |
1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
1750542411 | Abby B. Maxwell | Orthopaedic Surgery | 3 Mcdowell St, Suite B, Asheville, NC 28801-4103 | 2008-06-24 |
1518130418 | Jeffrey Tweed Spang | Orthopaedic Surgery | University of North Carolina Hospital, Cb# 7055, Chapel Hill, NC 27599-7055 | 2008-04-11 |
1184746810 | Kevin Leo Krasinski | Orthopaedic Surgery | 1236 Huffman Mill Rd Ste 1300, Burlington, NC 27215-8700 | 2007-04-04 |
1285748970 | Statesville Hma Physician Management, Inc | Orthopaedic Surgery | 340 Signal Hill Dr, Suite A, Statesville, NC 28625-4357 | 2006-08-18 |
1467461566 | Timothy Ned Taft | Orthopaedic Surgery | 3154 Bioinformatics Bldg, Cb # 7055 Unc, Chapel Hill, NC 27599-0001 | 2006-08-07 |
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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.