STEPHEN E. JOHNSON (NPI# 1780667501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780667501 |
| Entity Type | Individual |
| Full Name | STEPHEN E. JOHNSON |
| Credential | M.D. |
| Practice Address |
6602 Knightdale Blvd Suite 102 Knightdale NC 27545-6525 |
| Practice Telephone | 9197475210 |
| Practice Fax Number | 9197475211 |
| Mailing Telephone | 9197475210 |
| Mailing Fax Number | 9197475211 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2014-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 21409 | NC | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 42431 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 45904324 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962997072 | Stephen Vaughn Johnson | Case Management | 5910 Nw 58th Steet, Oklahoma City, OK 73122 | 2018-06-30 |
| 1386138287 | Stephen Johnson | Anesthesiologist Assistant | 157 Dawn Lauren Ln, Tallahassee, FL 32301-3415 | 2018-06-15 |
| 1306364609 | Stephen Johnson | Behavior Technician | 9143 Plaza Park Dr, Elk Grove, CA 95624-2638 | 2017-09-07 |
| 1629514260 | Stephen Michael Johnson | Chiropractor | 851 Orchard Rd, Red Bank, NJ 07701-5317 | 2017-01-06 |
| 1003178682 | Stephen A Johnson | Neurological Surgery | 10 Plum St Dept Of, New Brunswick, NJ 08901-2065 | 2012-06-11 |
| 1528365459 | Stephen Siewers Johnson | Social Worker | 1480 Oakbridge Ct., Powhatan, VA 23139 | 2011-02-11 |
| 1720231129 | Stephen W. Johnson | Dentist | 9295 E. Thunderbird Rd, Suite 104, Scottsdale, AZ 85260 | 2008-10-29 |
| 1407079098 | Stephen Andrew Johnson | Speech-Language Pathologist | 12650 Grey Eagle Ct, Apt. 14, Germantown, MD 20874-5318 | 2007-04-11 |
| 1245356005 | Stephen Allen Johnson | Counselor | 1550 E Battlefield St Ste A, Springfield, MO 65804-3700 | 2007-03-22 |
| 1417088535 | Stephen D Johnson | Chiropractor | 679 E Harbor St, Suite 140, Warrenton, OR 97146-9717 | 2007-03-08 |
| Street Address |
6602 KNIGHTDALE BLVD SUITE 102 |
| City | KNIGHTDALE |
| State | NC |
| Zip Code | 27545-6525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789394 | Linwood Worth Watson | Family Medicine | 6602 Knightdale Blvd, Suite 102, Knightdale, NC 27545-7130 | 2005-06-10 |
| 1538693627 | Cynthia Topley | Dietitian, Registered | 6602 Knightdale Blvd, #202, Knightdale, NC 27545-6525 | 2017-04-14 |
| 1801345855 | Tyler Giese | Social Worker | 6602 Knightdale Blvd, Suite 201, Knightdale, NC 27545-6525 | 2016-09-30 |
| 1720431372 | Melissa Stieb | Physical Therapy Assistant | 6602 Knightdale Blvd, Knightdale, NC 27545-6525 | 2016-07-19 |
| 1619303690 | Private Diagnostic Clinic, Pllc | Pediatrics | 6602 Knightdale Blvd, Suite 204, Knightdale, NC 27545-6525 | 2013-09-23 |
| 1851660807 | Gaben | Pharmacy | 6602 Knightdale Blvd, Suite 120, Knightdale, NC 27545-6525 | 2011-12-20 |
| 1790002418 | Matthew David Oettinger | Family Medicine | 6602 Knightdale Blvd, Suite 202, Knightdale, NC 27545-6525 | 2010-04-21 |
| 1669615167 | Jacqueline Farber Kerkow | Pediatrics | 6602 Knightdale Blvd, Ste 204, Knightdale, NC 27545-6525 | 2009-04-13 |
| 1811155807 | Segmia Kenna Tohnya | Pharmacist | 6602 Knightdale Blvd, Suite 120, Knightdale, NC 27545-6525 | 2008-05-28 |
| 1538358619 | Dianne Treacy Lore | Nurse Practitioner | 6602 Knightdale Blvd, Knightdale, NC 27545-6525 | 2007-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688526 | Galberth Health | Physical Therapist | 8002 Peachtree Town Ln, Knightdale, NC 27545 | 2017-09-24 |
| 1790215390 | Edward Hoggard Jr. | Counselor | 2013 Ballston Place, Knightdale, NC 27545 | 2017-06-15 |
| 1730635970 | Tara Forsythe | Social Worker | 4006 Peachtree Town Lane, Knightdale, NC 27545 | 2016-08-28 |
| 1134504962 | Maybell Grino | Pharmacist | 7201 Us Highway 64, Knightdale, NC 27545 | 2015-07-22 |
| 1477948735 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 1408 Silver Valley Dr, Knightdale, NC 27545 | 2015-04-03 |
| 1235560772 | Shameka Latoya Davis | Counselor | 7417 Knightdale Blvd Unit 101, Knightdale, NC 27545 | 2013-12-10 |
| 1992135107 | Daniel Ross Conti | Dentist | 1001 Widewaters Parkway, Knightdale, NC 27545 | 2013-11-25 |
| 1255773644 | David D Sanjurjo | Nurse Practitioner | 7201 Us Hwy 64, Knightdale, NC 27545 | 2013-07-25 |
| 1790037133 | Dona D Mayo | Counselor | 502 Mcknight Drive, Better Communities, Knightdale, NC 27545 | 2012-10-09 |
| 1699972257 | Lindsay Horwat | Occupational Therapist | 1010 Emerald Common Drive, Apartment 205, Knightdale, NC 27545 | 2007-06-28 |
| Find all providers in zip 27545 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649412867 | Rex Hospital Inc | Emergency Medicine | 6602 Knightdale Boulevard, Suite 102, Knightdale, NC 27545-7130 | 2009-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758430 | Express Test Nc Pllc | Emergency Medicine | 110 Swift Ave, Durham, NC 27705-4880 | 2020-10-21 |
| 1164021051 | Onespotmd Primary and Urgent Care Pllc | Emergency Medicine | 2017 Central Ave Ste 103, Charlotte, NC 28205-5388 | 2020-10-21 |
| 1750909032 | The Presbyterian Hospital | Emergency Medicine | 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1457988586 | Morgan Mazakas Penzler | Emergency Medicine | 1000 Blythe Blvd Ste 600, Charlotte, NC 28203-5812 | 2020-03-26 |
| 1770114555 | Carolina Neuropathy Centers, Pllc | Emergency Medicine | 21000 Torrence Chapel Rd Ste 101, Cornelius, NC 28031-6874 | 2020-01-30 |
| 1386291185 | Maurice Andre Paquette II | Emergency Medicine | 2301 Erwin Rd # Dumc3096, Durham, NC 27705-4699 | 2019-08-26 |
| 1205489275 | Rex Hospital Inc | Emergency Medicine | 6715 Mccrimmon Pkwy Ste 201, Cary, NC 27519-1916 | 2019-07-18 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1538620737 | Andrew Yde | Emergency Medicine | Cmc/department of Emergency Medicine, 1000 Blythe Blvd., Charlotte, NC 28203-5812 | 2019-03-29 |
| Find all providers with the same taxonomy | ||||
| City | KNIGHTDALE |
| Zip Code | 27545 |
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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.