PIERRE M JOHNSON, MD PC (NPI# 1720486814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720486814 |
| Entity Type | Organization |
| Organization Name | PIERRE M JOHNSON, MD PC |
| Practice Address |
2555 Phillips Field Rd Fairbanks AK 99709-3933 |
| Practice Telephone | 9073282920 |
| Practice Fax Number | 9074562914 |
| Mailing Telephone | 9073282920 |
| Mailing Fax Number | 9074562914 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | DR. PIERRE M JOHNSON (OWNER) |
| Authorized Official Telephone | 9073282920 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
6017 | AK | Ambulatory Health Care Facilities |
| Street Address |
2555 PHILLIPS FIELD RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952324618 | Sharon Lola Richards | Physical Therapist | 2555 Phillips Field Rd, Suite 202, Fairbanks, AK 99709-3933 | 2006-07-25 |
| 1700404779 | Haley Evens | Registered Nurse | 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 | 2020-07-07 |
| 1629568738 | Matthew Myron Priebe | Acupuncturist | 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 | 2018-05-14 |
| 1861834772 | Susan A Guritz | Occupational Therapist | 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 | 2013-07-19 |
| 1164763058 | Nivedita Chandrasekharan | Optometrist | 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 | 2013-03-03 |
| 1235470121 | Kimberly Sweazy | Naturopath | 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 | 2013-03-03 |
| 1891034682 | Heather Jorgensen | Massage Therapist | 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 | 2013-02-13 |
| 1760767818 | Scott Amestoy | Optometrist | 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 | 2011-10-19 |
| 1417237041 | Courtney Jean Heinz | Physical Therapist | 2555 Phillips Field Rd, Ste 202, Fairbanks, AK 99709-3933 | 2011-08-26 |
| 1619113123 | Aisha Correa Wilbur | Physical Therapist | 2555 Phillips Field Rd, Suite 202, Fairbanks, AK 99709-3933 | 2009-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710347349 | Solstice Medicine & Wellness, LLC | Clinic/Center | 475 Riverstone Way # 5, Fairbanks, AK 99709-2945 | 2016-02-24 |
| 1386193472 | Fairbanks Memorial Cardiology Center, LLC | Clinic/Center | 1650 Cowles St Dept 60a, Fairbanks, AK 99701-5907 | 2016-09-29 |
| 1194918367 | David M. Witham Md Inc | Clinic/Center | 1411 19th Ave, Fairbanks, AK 99701-5902 | 2007-08-22 |
| 1487737284 | Interior Women's Health, LLC | Clinic/Center | 1919 Lathrop St, Ste. 205, Fairbanks, AK 99701-5930 | 2006-10-23 |
| 1992814099 | Robert D. Dingeman, Md | Clinic/Center | 751 Old Richardson Hwy, Suite 101, Fairbanks, AK 99701-7813 | 2006-08-30 |
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| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1376075697 | Seven Principles Therapeutics | Clinic/Center | 505 W Northern Lights Bvld, Anchorage, AK 99503 | 2017-03-28 |
| 1730482407 | American Hyperbaric Centers, Inc. | Clinic/Center | 2710 Wesleyan Drive, Suite 201, Anchorage, AK 99508-3776 | 2010-12-17 |
| 1447577200 | Advanced Body Solutions, Inc. | Clinic/Center | 626 Cordova Street Suite 105, Advanced Body Solutions, Anchorage, AK 99501 | 2010-05-03 |
| 1366674699 | Colleen M. Murphy, Md, Facog, Corp | Clinic/Center | 4100 Lake Otis Pkwy Ste 330, Anchorage, AK 99508-5232 | 2009-08-20 |
| 1295988491 | Eastern Aleutian Tribes | Clinic/Center | 1 Airport Rd, Cold Bay, AK 99571 | 2008-10-31 |
| 1881879922 | Wisdom Traditions Counseling Services, LLC | Clinic/Center | 401 W International Rd Ste 27, Anchorage, AK 99518-1168 | 2008-01-08 |
| 1891790184 | Independence Healthcare PC | Clinic/Center | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2005-06-14 |
| 1578178349 | Arctic Medical Center Matsu | Clinic/Center | 1734 Prospect Dr, Palmer, AK 99645 | 2020-09-09 |
| 1962040006 | Arctic Medical Center | Clinic/Center | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503-6089 | 2019-12-19 |
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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.