TAMARA DENIECE JOHNSON (NPI# 1760701288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760701288 |
| Entity Type | Individual |
| Full Name | TAMARA DENIECE JOHNSON |
| Credential | M.D. |
| Practice Address |
274 Commonwealth Dr Suite C Greenville SC 29615-4869 |
| Practice Telephone | 8645512422 |
| Practice Fax Number | 8645512424 |
| Mailing Telephone | 8645512422 |
| Mailing Fax Number | 8645512424 |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2014-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 32609 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126789 | Tamara Natalee Johnson | Case Manager/Care Coordinator | 5305 Greenwood Ave Ste 204, West Palm Beach, FL 33407-2449 | 2020-02-19 |
| 1164069951 | Tamara Lynn Johnson | Dietitian, Registered | 525 Madrona Ave, Port Orford, OR 97465-9552 | 2019-11-29 |
| 1003367764 | Tamara Johnson | Licensed Practical Nurse | 9038 170th St Apt 3g, Jamaica, NY 11432-5352 | 2016-10-18 |
| 1376982694 | Tamara Lynn Johnson | Specialist | 5728 Stage Rd Ste 6, Bartlett, TN 38134-4568 | 2013-06-19 |
| 1811230485 | Tamara W Johnson | Specialist | 5942 Brook Rd, Richmond, VA 23227-2258 | 2013-04-02 |
| 1750675831 | Tamara H Johnson | Pharmacist | 8007 W Florissant Ave, T-2050, Jennings, MO 63136-1400 | 2011-06-06 |
| 1619271533 | Tamara Antionette Johnson | Psychologist | 1936 Sheridan Rd, Multicultural Center, Northwestern University, Evanston, IL 60208-0849 | 2011-01-06 |
| 1194979666 | Tamara Hutto Johnson | Occupational Therapist | 2326 Morgan Avenue Sw, Decatur Health and Rehab, Decatur, AL 35601-6244 | 2008-11-11 |
| 1770737298 | Tamara A. Johnson | Speech-Language Pathologist | 1101 Middle Stella Ireland Rd, Binghamton, NY 13905-6203 | 2008-11-11 |
| 1609028133 | Tamara Bilbo Johnson | Behavioral Analyst | 352 Old Parksville Trl Se, Cleveland, TN 37323-8706 | 2008-10-15 |
| Street Address |
274 COMMONWEALTH DR SUITE C |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614739 | David Devon Wilt | Nurse Practitioner | 274 Commonwealth Dr, Greenville, SC 29615-4872 | 2005-07-22 |
| 1093265456 | Tribe513, Pa | Obstetrics & Gynecology | 274 Commonwealth Dr, Suite A, Greenville, SC 29615-4869 | 2016-10-10 |
| 1609259217 | Express Pediatric Care, P.a. | Pediatrics | 274 Commonwealth Dr, Suite C, Greenville, SC 29615-4869 | 2015-06-30 |
| 1033340716 | Expresscare Pediatrics, PC | Clinic/Center | 274 Commonwealth Dr, Suite C, Greenville, SC 29615-4869 | 2009-07-29 |
| 1497899892 | Dawn Polly | Pediatrics | 274 Commonwealth Dr, Suite C, Greenville, SC 29615-4869 | 2007-02-18 |
| 1841388956 | Mercy Ob Gyn | Obstetrics & Gynecology | 274 Commonwealth Dr, Suite B, Greenville, SC 29615-4869 | 2006-10-11 |
| 1932137163 | Tamela Gail Gallman-keller | Obstetrics & Gynecology | 274 Commonwealth Dr, Suite A, Greenville, SC 29615 | 2006-06-28 |
| 1487648044 | John Francis Pilch | Psychiatry & Neurology | 274 Commonwealth Dr, Greenville, SC 29615-4869 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609380278 | Sarah Rider Grubbs | Pediatrics | 58 Park Vista Way, Greenville, SC 29617-7939 | 2017-11-18 |
| 1679005409 | Shailesh Manandhar | Pediatrics | 2816 Holly Glen Dr Apt A, Greenville, NC 27834-0064 | 2017-03-30 |
| 1114377645 | Madison Leigh Merritt | Pediatrics | 415 Duncan Chapel Rd, Greenville, SC 29617-8224 | 2016-06-15 |
| 1699139089 | Hunter Utkov Altman | Pediatrics | 701 Grove Road/ob Residency, Greenville, SC 29605-4210 | 2016-04-11 |
| 1851771976 | Ranjith Kasanagottu | Pediatrics | 200 Patewood Dr # A, Greenville, SC 29615-3593 | 2015-06-03 |
| 1336551365 | Sarah Rose Mangum Needham | Pediatrics | 709 Chesapeake Pl, Greenville, NC 27858-6236 | 2014-05-26 |
| 1124466164 | Katherine Marie Richardson | Pediatrics | 200 Patewood Drive Suite A200, Greenville, SC 29615-3580 | 2013-06-12 |
| 1689916264 | Shannon Nicole James | Pediatrics | 703 Verdae Blvd, Greenville, SC 29607 | 2013-03-21 |
| 1346411592 | Smithfield Pediatrics | Pediatrics | 7 Smith Avenue, Suite 103, Greenville, RI 02828 | 2008-03-16 |
| 1558546366 | Childrens Community Care | Pediatrics | 90 Shenango St Ste 12, Greenville, PA 16125-2060 | 2007-12-31 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on TAMARA DENIECE 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.