MATTHEW S JOHNSON (NPI# 1770607871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770607871 |
| Entity Type | Individual |
| Full Name | MATTHEW S JOHNSON |
| Credential | MD |
| Practice Address |
3196 S Maryland Pkwy Suite 101-a Las Vegas NV 89109-2305 |
| Practice Telephone | 7023697152 |
| Practice Fax Number | 7023697153 |
| Mailing Telephone | 7023697152 |
| Mailing Fax Number | 7023697153 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2014-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | LL1607 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | DEA CERTIFICATE | ASO2532199091 | 01 |
| NV | MEDICAL LICENSE | LL1607 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
| 1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
| 1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
| 1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
| 1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
| 1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
| Street Address |
3196 S MARYLAND PKWY SUITE 101-A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497739601 | Howard I Baron | Pediatrics | 3196 S Maryland Pkwy, Suite 309, Las Vegas, NV 89109-2314 | 2005-12-01 |
| 1215382387 | Hughes & Sanders, LLC | Dentist | 3196 S Maryland Pkwy, Suite 307, Las Vegas, NV 89109-2305 | 2016-04-26 |
| 1750792990 | Healthy Kids Pediatrics LLC | Pediatrics | 3196 S Maryland Pkwy, 400, Las Vegas, NV 89109-2305 | 2014-05-09 |
| 1437429842 | Sharon Schaffer | Pediatrics | 3196 S Maryland Pkwy, Suite 309, Las Vegas, NV 89109-2305 | 2012-01-03 |
| 1386872265 | Christopher Richardson | Surgery | 3196 S Maryland Pkwy, Suite 101, Las Vegas, NV 89109-2305 | 2009-06-30 |
| 1134354350 | Teresa R Carroll | Nurse Practitioner | 3196 S Maryland Pkwy, #309, Las Vegas, NV 89109-2305 | 2009-05-18 |
| 1104959782 | University of Nv School of Medicine Multi Specialty Group Practice So | Obstetrics & Gynecology | 3196 S Maryland Pkwy, #209, Las Vegas, NV 89109-2305 | 2007-03-13 |
| 1811085459 | Gastrointestinal Diagnostic Clinic | Clinic/Center | 3196 S Maryland Pkwy, Suite 207, Las Vegas, NV 89109-2305 | 2006-10-10 |
| 1932294980 | Ernest M. Sussman | Urology | 3196 S Maryland Pkwy, Ste. 410, Las Vegas, NV 89109-2305 | 2006-10-04 |
| 1124138516 | William D Burrows | Nurse Practitioner | 3196 S Maryland Pkwy, Suite 217, Las Vegas, NV 89109-2305 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316581663 | Lv Robotics | Surgery | 8954 Spanish Ridge Ave Ste 1, Las Vegas, NV 89148-1353 | 2019-10-30 |
| 1659834075 | Crossroads Saint LLC | Surgery | 1120 Shadow Ln Ste 120, Las Vegas, NV 89102-2342 | 2019-04-11 |
| 1629573555 | Talha Adil Rafeeqi | Surgery | 6655 S Cimarron Rd Ste 100, Las Vegas, NV 89113-2181 | 2018-03-23 |
| 1578090296 | Teddi Swidinsky | Surgery | 108 Legion Dr Ste B, Las Vegas, NM 87701-4898 | 2017-05-11 |
| 1700258712 | David Anthony Diorio | Surgery | 2221 Barchetta Dr, Las Vegas, NV 89134-6030 | 2015-10-29 |
| 1245602390 | Stem Cell Therapy of Las Vegas | Surgery | 2110 E Flamingo Rd Ste 333, Las Vegas, NV 89119-5190 | 2015-10-28 |
| 1588918205 | Joseph Thomas Carroll | Surgery | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102 | 2012-11-02 |
| 1770850943 | Allan Macintyre Pllc | Surgery | 8872 S Eastern Ave, Suite 104, Las Vegas, NV 89123-4900 | 2011-11-16 |
| 1356633424 | Fradkin Surgical Services Pllc | Surgery | 9811 W Charleston Blvd Ste 2-366, Las Vegas, NV 89117-7528 | 2011-05-09 |
| 1386888147 | Shohrat Annaberdyev | Surgery | 6080 S Durango Dr Ste 105, Las Vegas, NV 89113-1778 | 2009-04-23 |
| Find all providers in LAS VEGAS | ||||
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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.