VAN WARREN JOHNSON (NPI# 1780647958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780647958 |
| Entity Type | Individual |
| Full Name | VAN WARREN JOHNSON |
| Credential | MD |
| Practice Address |
103 W Saint Clair St Suite 1d Warren PA 16365-2197 |
| Practice Telephone | 8147261921 |
| Practice Fax Number | 8147267881 |
| Mailing Telephone | 8147261921 |
| Mailing Fax Number | 8147267881 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD013857E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006530430001 | 05 | |
| PA | MEDICARE ID | 108296 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356545040 | Van Allan Johnson Jr. | Surgery | 9250 N 3rd St, Suite 3015, Phoenix, AZ 85020-2437 | 2007-06-14 |
| Street Address |
103 W SAINT CLAIR ST SUITE 1D |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870641 | Gary Lynn Mcafoos | Surgery | 103 W Saint Clair St, Rm 2d, Warren, PA 16365-2188 | 2005-06-08 |
| 1538520390 | Seneca Eye Care LLC | Ophthalmology | 103 W Saint Clair St, Warren, PA 16365-2197 | 2016-03-08 |
| 1235513292 | Christian Wood | Optometrist | 103 W Saint Clair St, Warren, PA 16365-2197 | 2015-07-19 |
| 1316275092 | George Michael Watson | Ophthalmology | 103 W Saint Clair St, Warren, PA 16365-2197 | 2009-11-18 |
| 1700906583 | Van W. Johnson Md PC | Orthopaedic Surgery | 103 W Saint Clair St, Warren, PA 16365-2197 | 2007-03-29 |
| 1649320003 | Warren Surgeons, Inc. | Surgery | 103 W Saint Clair St, Suite 2d, Warren, PA 16365-2197 | 2007-01-10 |
| 1578631057 | Seneca Eye Surgeons, Inc | Optometrist | 103 W Saint Clair St, Warren, PA 16365-2197 | 2006-12-01 |
| 1902996903 | Christopher John | Physician Assistant | 103 W Saint Clair St, Suite 1d, Warren, PA 16365-2197 | 2006-10-13 |
| 1609888643 | Nichole B Harrison | Internal Medicine | 103 W Saint Clair St, Internal Medicine, Warren Medical Group, Warren, PA 16365-2197 | 2006-08-11 |
| 1407812167 | Lonnie L Heeter | Nurse Practitioner | 103 W Saint Clair St, Warren, PA 16365-2197 | 2006-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751112 | Mendelson Warren Pharmacy | Orthopaedic Surgery | 11900 E 12 Mile Rd Ste 105, Warren, MI 48093-3487 | 2019-07-09 |
| 1285176628 | Associated Orthopaedics | Orthopaedic Surgery | 4 Rose Ct, Warren, NJ 07059-5779 | 2016-11-16 |
| 1255784187 | Youngstown Orthopaedic Associates Ltd | Orthopaedic Surgery | 1695 Niles Cortland Rd Ne, Warren, OH 44484-1165 | 2016-07-15 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| 1740439728 | Donald J Holtzman | Orthopaedic Surgery | 12 William Penn Rd, Warren, NJ 07059-5047 | 2008-09-15 |
| 1851550958 | Paul Franklin Ignatius | Orthopaedic Surgery | 505 Market St, Warren, PA 16365-1765 | 2008-06-03 |
| 1194990960 | Richard Steven Siegel | Orthopaedic Surgery | 17 Betsy Ross Dr, Warren, NJ 07059-3000 | 2008-04-23 |
| 1184828451 | Michigan Surgery Specialists, P.C. | Orthopaedic Surgery | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093-2546 | 2007-06-12 |
| 1972705077 | Ross Sherban | Orthopaedic Surgery | 13355 E Ten Mile Rd, Warren, MI 48089 | 2007-06-01 |
| 1336358787 | Nikola Marko Dobrasevic | Orthopaedic Surgery | 30250 Blancke Dr, Warren, MI 48093 | 2007-05-22 |
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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.