MR. RYAN PAUL JOHNSON (NPI# 1760981104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760981104 |
| Entity Type | Individual |
| Full Name | MR. RYAN PAUL JOHNSON |
| Credential | APRN, AGACNP-BC |
| Practice Address |
61 Whitcher St Ne Ste 3110 Marietta GA 30060-1179 |
| Practice Telephone | 7704222326 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN236592 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1235693862 | Ryan Joseph Maurice Johnson | Behavior Technician | 5985 Devecchi Ave Apt 277, Citrus Heights, CA 95621-6091 | 2019-01-28 |
| 1285084459 | Ryan Johnson | Dentist | 1566 Dunn Ave, Jacksonville, FL 32218-4734 | 2016-06-17 |
| 1609265818 | Ryan Johnson | Specialist/Technologist | 4336 Dell Rd Apt K, Lansing, MI 48911-8136 | 2015-01-12 |
| 1790181212 | Ryan Johnson | Specialist/Technologist | 1162 Eden Terrace Dr, Rock Hill, SC 29733-3208 | 2014-11-11 |
| 1588073431 | Ryan Scott Johnson | Massage Therapist | 10 North Virginia Street, Crystal Lake, IL 60014 | 2014-08-05 |
| 1235545161 | Ryan Johnson | Counselor | 207 W Branch Ave, Pine Hill, NJ 08021-7084 | 2014-07-11 |
| 1417369042 | Ryan Alan Johnson | Dentist | 400 Fairview Ave Ste 6, Ponca City, OK 74601-1910 | 2014-06-02 |
| 1861815482 | Ryan James Johnson | Registered Nurse | 140 Tamarack Ave, Apt 1, Carlsbad, CA 92008-4099 | 2014-02-03 |
| 1306281027 | Ryan Aaron Johnson | Audiologist | 4190 Bonita Rd Ste 104, Bonita, CA 91902-1330 | 2013-05-08 |
| Street Address |
61 WHITCHER ST NE STE 3110 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770715559 | Phillip V Parry Sr. | Neurological Surgery | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 | 2009-08-13 |
| 1760035307 | Adam Wesley Bomar | Nurse Practitioner | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2019-07-23 |
| 1598249211 | Sarah Turner Blackstock | Nurse Practitioner | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2018-09-18 |
| 1013490069 | Erin Alexandra Oweida | Physician Assistant | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2018-09-14 |
| 1205355427 | Amanda Y Pellerito | Physician Assistant | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2017-09-19 |
| 1700242773 | Erika Leigh Rademacher | Physician Assistant | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2016-01-06 |
| 1265813851 | Katrina Joyce | Nurse Practitioner | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2015-06-09 |
| 1598150195 | Kirby Bandoquillo | Nurse Practitioner | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2015-03-31 |
| 1427300193 | Derek Ladon Baker | Physician Assistant | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 | 2012-10-05 |
| 1932411238 | Amber Aubert Torres | Physician Assistant | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2010-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225674062 | Ann Sabah Oliveira | Nurse Practitioner | 252 Weatherstone Pkwy, Marietta, GA 30068-3486 | 2019-11-26 |
| 1003372293 | Tanisha Leonard | Nurse Practitioner | 2371 Wilderness Way, Marietta, GA 30066-5753 | 2019-02-13 |
| 1235376260 | Hutchison Surgical Assisting Incorporated | Nurse Practitioner | 3090 Rio Montana Dr, Marietta, GA 30066-4048 | 2009-01-13 |
| 1285268904 | Winston Douglas II | Nurse Practitioner | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-03-03 |
| 1679106298 | Aimee Bolstein Cornell | Nurse Practitioner | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-02-21 |
| 1336785732 | Faith Webster | Nurse Practitioner | 55 Whitcher St Ne Ste 250, Marietta, GA 30060-1169 | 2019-11-20 |
| 1780228361 | Patrick Warren Parkman | Nurse Practitioner | 55 Whitcher St Ne Ste 160, Marietta, GA 30060-1160 | 2019-11-06 |
| 1679123798 | Ashley Dawn Amon | Nurse Practitioner | 677 Church St Ne Ste 100, Marietta, GA 30060-1101 | 2019-09-19 |
| 1407314669 | Allison Renee Heinrich | Nurse Practitioner | 55 Whitcher St Ne Ste 160, Marietta, GA 30060-1160 | 2019-03-06 |
| 1356819569 | Nicole Heather Johnson | Nurse Practitioner | 55 Whitcher St Ne Ste 160, Marietta, GA 30060-1160 | 2018-11-06 |
| Find all providers in MARIETTA | ||||
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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.