DARRYL C JOHNSON (NPI# 1720084916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720084916 |
| Entity Type | Individual |
| Full Name | DARRYL C JOHNSON |
| Credential | DO |
| Practice Address |
1912 Middle Rd Ste 200 Bettendorf IA 52722-7600 |
| Practice Telephone | 5633557770 |
| Mailing Telephone | 5633557770 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2017-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 02790 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IOWA HEALTH SOLUTIONS | 19834 | 01 | |
| IA | 3097246 | 05 | |
| JOHN DEERE HEALTH PLAN | IA0139 | 01 | |
| DMERC | 4796890002 | 01 | |
| HEALTH ALLIANCE | 035513 | 01 | |
| WELLMARK BC/BS | 40048 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598765661 | Darryl L Johnson | Ophthalmology | 400 East Vaughn Ave, Ruston, LA 71270 | 2005-07-29 |
| 1568994218 | Darryl Johnson | Massage Therapist | 85078 Chezem Rd, Eugene, OR 97405-9438 | 2017-03-31 |
| 1700336138 | Darryl Johnson | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-10 |
| 1790107977 | Darryl Johnson | Allergy & Immunology | 7457 Harwin Dr Ste 210, Houston, TX 77036-2024 | 2014-01-07 |
| 1295171569 | Darryl Lynn Johnson Sr. | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2013-05-14 |
| 1740481589 | Darryl Keith Johnson | Dentist | 1011 Saint Andrews Dr, Suite B, El Dorado Hills, CA 95762-4248 | 2007-05-30 |
| 1265589725 | Darryl E Johnson | Audiologist | 13934 N 59th Ave, Suite 120, Glendale, AZ 85306-4167 | 2007-01-05 |
| Street Address |
1912 MIDDLE RD STE 200 |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-7600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679958334 | Jamie Renee Mcwade | Counselor | 1912 Middle Rd, 300b, Bettendorf, IA 52722-7600 | 2015-07-23 |
| 1720470362 | Lc Jr., LLC | Counselor | 1912 Middle Rd, 300 B, Bettendorf, IA 52722-7600 | 2015-02-18 |
| 1659653178 | Matthew Wesley Lettington | Marriage & Family Therapist | 1912 Middle Rd, Suite 300a, Bettendorf, IA 52722-7600 | 2011-09-10 |
| 1427337849 | Darryl C Johnson Do PC | Obstetrics & Gynecology | 1912 Middle Rd, Suite 200, Bettendorf, IA 52722-7600 | 2011-08-16 |
| 1912028218 | Thomas Ward Olson | Dentist | 1912 Middle Rd, Bettendorf, IA 52722-3206 | 2007-04-03 |
| 1982797544 | Karin Sue Campion | Chiropractor | 1912 Middle Rd, Suite 200, Bettendorf, IA 52722-7600 | 2006-10-02 |
| 1316045909 | Paula Fay Price | Counselor | 1912 Middle Rd, Suite 300b, Bettendorf, IA 52722-7600 | 2006-09-20 |
| 1013986983 | Brooke Alyssa Eckhardt Lee | Chiropractor | 1912 Middle Rd, Suite 200, Bettendorf, IA 52722-7600 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| 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 |
|---|---|---|---|---|
| 1487035432 | Abbi Ann Madden | Obstetrics & Gynecology | 865 Lincoln Rd Ste 100, Bettendorf, IA 52722-4159 | 2015-06-16 |
| 1598027070 | Rebecca Sue Stein | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Ste 1140, Bettendorf, IA 52722-1656 | 2012-06-11 |
| 1427337849 | Darryl C Johnson Do PC | Obstetrics & Gynecology | 1912 Middle Rd, Suite 200, Bettendorf, IA 52722-7600 | 2011-08-16 |
| 1649430620 | Kristina Nicole Yoder | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Suite 1140, Bettendorf, IA 52722-1656 | 2008-06-12 |
| 1972709046 | Karen Ann Brenot | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Suite 1140, Bettendorf, IA 52722-1656 | 2007-06-25 |
| 1720102320 | Andria Lee Barr | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Ste. 1140, Bettendorf, IA 52722-1656 | 2007-03-19 |
| 1568441707 | Eduardo L Ricaurte Md | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644 | 2006-01-16 |
| 1285613422 | Eduardo L Ricaurte | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644 | 2006-01-16 |
| 1245236298 | Robert W Pimentel | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Suite 108, Bettendorf, IA 52722-1656 | 2005-06-23 |
| 1295731727 | Richard M Kishiue | Obstetrics & Gynecology | 865 Lincoln Rd, Ste 100, Bettendorf, IA 52722-4159 | 2005-06-21 |
| Find all providers in BETTENDORF | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
Please comment or provide details below to improve the information on DARRYL C 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.