CARL JOHNSON (NPI# 1720362288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720362288 |
| Entity Type | Individual |
| Full Name | CARL JOHNSON |
| Practice Address |
101 S 12th St Mcalester OK 74501-5656 |
| Practice Telephone | 9184707869 |
| Mailing Telephone | 9184707869 |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356572440 | Carl Edward Johnson | Social Worker | 1537 W Adams St, #2r, Chicago, IL 60607-2451 | 2009-08-06 |
| 1083878490 | Carl R Johnson | Pharmacist | 524 Dean Hall Ct, Mt Pleasant, SC 29464-6204 | 2008-07-15 |
| 1205044369 | Carl Joseph Johnson | Dentist | 7241 Owensmouth Ave, Canoga Park, CA 91303-1530 | 2007-05-20 |
| 1700908670 | Carl Allen Johnson | Dermatology | 2610 Blossom St, Columbia, SC 29205-2308 | 2007-04-04 |
| 1427183847 | Carl Frederick Johnson | Marriage & Family Therapist | 2200 Century Parkway, Suite 200, Atlanta, GA 30345-3103 | 2007-02-23 |
| 1912063652 | Carl Austin Johnson | Physical Therapist | 285 W Francis, Blackfoot Physical Therapy, Blackfoot, ID 83221 | 2006-12-28 |
| 1437264033 | Carl L Johnson | Internal Medicine | 5320 W 12th St, Little Rock, AR 72204 | 2006-08-21 |
| 1144237215 | Carl E Johnson | Internal Medicine | 87 Herrick St, Beverly, MA 01915-2773 | 2006-08-02 |
| 1487679684 | Carl E Johnson | Pathology | 24 Las Praderas Dr, San Luis Obispo, CA 93401-7410 | 2006-07-12 |
| 1275525701 | Carl R Johnson | Internal Medicine | 500 Health Center Dr, Suite 104, Mattoon, IL 61938-9258 | 2005-08-19 |
| Street Address |
101 S 12TH ST |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-5656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518240563 | Amanda Zaccaro | Contractor | 589 Firestone Rd, Mcalester, OK 74501-6870 | 2011-09-26 |
| 1003082611 | Tonia Rene'e Branson | Contractor | Rr 3 Box 152a, Mcalester, OK 74501-9514 | 2008-05-03 |
| 1770707812 | Lawna Joanne Shields | Contractor | Rt 3 Box 152a, Mcalester, OK 74501 | 2007-04-12 |
| 1427547413 | Mickie Jo Williamson | Contractor | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2018-05-04 |
| 1659636520 | Kelli M Henry | Contractor | 220 E Comanche Ave, Mcalester, OK 74501-5846 | 2012-07-06 |
| 1346524998 | Todd Lee Graham | Contractor | 721 S George Nigh Expy, Mcalester, OK 74501-7400 | 2011-09-30 |
| 1922381854 | Margaret Denise Green | Contractor | 721 S George Nigh Expy, Mcalester, OK 74501-7400 | 2011-09-27 |
| 1437468725 | Center 4 Change, L.L.C. | Contractor | 111 S Main St, Mcalester, OK 74501-5363 | 2010-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051963 | Omnicare365, Inc. | Contractor | 3588 Tom Smith Rd, Durant, OK 74701-6025 | 2020-07-29 |
| 1639700214 | Tohnyonah Jackson | Contractor | 7500 Knight Lake Dr Apt 123, Oklahoma City, OK 73132-6019 | 2020-01-31 |
| 1427693019 | Embrace Life, LLC | Contractor | 8521 Arlington Dr, Oklahoma City, OK 73132-4752 | 2019-11-07 |
| 1013558725 | Antwone Robinson | Contractor | 4407 Sw Hickory Ln, Lawton, OK 73505-7506 | 2019-10-03 |
| 1487200549 | Jason Alexander Cortes | Contractor | 2717 Nw Denver Ave, Lawton, OK 73505-3942 | 2019-08-14 |
| 1104485747 | Clayton Lucas | Contractor | 224 Springtree Dr, Harrah, OK 73045-4517 | 2019-06-07 |
| 1861059388 | 15th Street Clinic | Contractor | 180 W 15th St Ste 100, Edmond, OK 73013-3601 | 2019-05-20 |
| 1336615046 | Jera D Burtin | Contractor | 220 N Moreland Ave, Watonga, OK 73772-4038 | 2018-10-19 |
| 1346734282 | Sherry Deanne Ramsey | Contractor | 714 S Mcdonald St, Stillwater, OK 74074-4213 | 2018-06-14 |
| 1851897474 | Jami Michelle Reed | Contractor | 2256 Nw 164th, Edmond, OK 73013-1227 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CARL 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.