MARY KATHERINE JOHNSON (NPI# 1720309750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720309750 |
| Entity Type | Individual |
| Full Name | MARY KATHERINE JOHNSON |
| Credential | M.D. |
| Practice Address |
6215 Humphreys Blvd Ste 100 Memphis TN 38120-2367 |
| Mailing Address |
674 Hawthorne St Memphis TN 38107-4532 |
| Practice Telephone | 9017471200 |
| Mailing Telephone | 9017471200 |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2014-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 50895 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953145 | Mary Ann Johnson | Technician | 165 Everett Dr, Gallipolis Ferry, WV 25515-7005 | 2020-08-21 |
| 1851938385 | Mary Johnson | Technician | 2917 W 19th Ave Trlr 79, Kennewick, WA 99337-2307 | 2019-12-03 |
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1033670807 | Mary Bernece Johnson | Registered Nurse | 5603 Mandalay, Killeen, TX 76549-4597 | 2019-03-26 |
| 1295205342 | Mary Elizabeth Johnson | Speech-Language Pathologist | 502 W Windsor Rd, Champaign, IL 61820-7739 | 2018-12-03 |
| 1255825758 | Mary Elizabeth Johnson | Dietitian, Registered | 3590 Lucille Dr Ste 2600, Cincinnati, OH 45213-2669 | 2018-06-18 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1841735289 | Mary Johnson | Registered Nurse | 14 Cypress Fairway Vlg, Wimberley, TX 78676-1974 | 2016-12-20 |
| 1467827220 | Mary Johnson | Registered Nurse | 308 Keelson Dr, Detroit, MI 48215-3058 | 2015-12-04 |
| 1003286055 | Mary Ann Johnson | Dentist | 320 Comanche St., Kiowa, CO 80117 | 2015-10-02 |
| Street Address |
6215 HUMPHREYS BLVD STE 100 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599316 | Michael Stuart Bronstein | Specialist | 6215 Humphreys Blvd, Ste 400, Memphis, TN 38120-2367 | 2005-06-21 |
| 1245655661 | Charity Brees | Nurse Practitioner | 6215 Humphreys Blvd, Suite 310, Memphis, TN 38120-2367 | 2014-02-21 |
| 1487082699 | Ebony Smith | Nurse Practitioner | 6215 Humphreys Blvd, Suite 201, Memphis, TN 38120-2367 | 2013-10-25 |
| 1477831261 | Kristal D Taylor | Specialist | 6215 Humphreys Blvd, Suite 500, Memphis, TN 38120-2367 | 2011-07-27 |
| 1174815609 | Catherine Ann Alexander | Pediatrics | 6215 Humphreys Blvd, Suite 310, Memphis, TN 38120-2373 | 2011-05-02 |
| 1215234505 | Leslie B Norman | Nurse Practitioner | 6215 Humphreys Blvd, Suite 500, Memphis, TN 38120-2367 | 2011-02-22 |
| 1538471248 | Ana Tobiasz | Obstetrics & Gynecology | 6215 Humphreys Blvd, Memphis, TN 38120-2367 | 2010-07-10 |
| 1013238054 | Jason Glenn Williams | Obstetrics & Gynecology | 6215 Humphreys Blvd, Ste 401, Memphis, TN 38120-2367 | 2010-06-14 |
| 1073840104 | Annjanette Marie Howsan | Nurse Practitioner | 6215 Humphreys Blvd, Suite 201, Memphis, TN 38120-2367 | 2009-11-10 |
| 1831422104 | Baptist Memorial Medical Group Inc | Surgery | 6215 Humphreys Blvd, Suite 505, Memphis, TN 38120-2367 | 2009-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| 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 |
|---|---|---|---|---|
| 1043860448 | 901 Health, Pllc | Obstetrics & Gynecology | 3068 Covington Pike Ste 3, Memphis, TN 38128-5001 | 2019-09-17 |
| 1669860557 | Midsouth Healthcare Management | Obstetrics & Gynecology | 3249 W Sarazens Cir, Memphis, TN 38125-0807 | 2014-12-31 |
| 1104269745 | Abigail Y. Talbot | Obstetrics & Gynecology | 6215 Humphreys Blvd Ste 500, Memphis, TN 38120-2384 | 2013-04-13 |
| 1972863165 | Robin Morehead Taylor | Obstetrics & Gynecology | 6215 Humphreys Blvd Ste 100, Memphis, TN 38120-2382 | 2012-05-21 |
| 1417121013 | Dominique M Butawan-ali | Obstetrics & Gynecology | 6215 Humphreys Blvd., Ste 100, Memphis, TN 38120 | 2008-04-15 |
| 1972782670 | Ob Gyn Centers of Memphis,mpllc | Obstetrics & Gynecology | 1264 Wesley Dr Ste 402, Memphis, TN 38116-6447 | 2007-10-30 |
| 1699963249 | Stephen Eguabor Ehiremen | Obstetrics & Gynecology | 2900 Kirby Rd Ste 11, Memphis, TN 38119 | 2007-10-09 |
| 1902013238 | Carlos Zavala | Obstetrics & Gynecology | 1850 Poplar Crest Cv, Suite 105, Memphis, TN 38119-4877 | 2007-05-17 |
| 1578775359 | Laura B Haskins | Obstetrics & Gynecology | 6005 Park Ave Ste 430b, Memphis, TN 38119-5211 | 2007-05-04 |
| 1598892325 | Memphis Midsouth Obgyn Alliance P.C. | Obstetrics & Gynecology | 6215 Humprehys Blvd, Suite 400, Memphis, TN 38120 | 2007-02-28 |
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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.