RUSSELL ADAM JOHNSON (NPI# 1831112341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831112341 |
Entity Type | Individual |
Full Name | RUSSELL ADAM JOHNSON |
Credential | M.D. |
Practice Address |
3211 W 20th St Ste D Greeley CO 80634-6566 |
Practice Telephone | 9703563100 |
Practice Fax Number | 9703564827 |
Mailing Telephone | 9703563100 |
Mailing Fax Number | 9703564827 |
Enumeration Date | 2006-07-25 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
32618 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | VALUE OPTIONS | 065216 | 01 |
CO | BLUE CROSS | 643345 | 01 |
CO | 01326180 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659782787 | Russell Laroy Johnson | Contractor | 11629 Sueno Ct., Fontana, CA 92337 | 2014-05-12 |
1497198402 | Russell Andrew Johnson | Emergency Medicine | 100 Ucla Medical Plaza Suite 490, Los Angeles, CA 90095-1103 | 2013-04-09 |
1790990679 | Russell E Johnson | Chiropractor | 1519 Grundy Ave, Holbrook, NY 11741-2106 | 2007-05-13 |
1417172966 | Russell Johnson Jr. | Hearing Instrument Specialist | 1522 Gregg St, Columbia, SC 29201-3530 | 2007-04-17 |
1861423790 | Russell Talmage Johnson | Specialist/Technologist | 1190 S 18th Street Ext, Oxford, MS 38655-5378 | 2006-07-06 |
1437185378 | Russell K Johnson | Podiatrist | 114 W Castellano Dr, El Paso, TX 79912-6119 | 2006-06-23 |
1003801283 | Russell F Johnson | Radiology | 615 N Michigan St, 1st Floor, South Bend, IN 46601-1033 | 2005-09-14 |
1528413549 | Russell D Johnson | Counselor | 2238 E. Ginter Road, Sunnyside Unified School District No. 12, Tucson, AZ 85706 | 2016-04-27 |
1710345483 | Russell Johnson | Physician Assistant | 2801 W Kinnickinnic River Pkwy Ste 370, Milwaukee, WI 53215-3678 | 2016-02-09 |
1881085298 | Russell Ivan Johnson | Dentist | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2015-02-08 |
Street Address |
3211 W 20TH ST STE D |
City | GREELEY |
State | CO |
Zip Code | 80634-6566 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780606145 | Sandra K Sup | Counselor | 3211 W 20th St Ste D, Greeley, CO 80634-6566 | 2006-07-24 |
1508484296 | Hilary Christine Abbath | Massage Therapist | 3211 W 20th St Ste D, Greeley, CO 80634-6566 | 2020-07-08 |
1104146489 | Bonnell K Lindstrom | Counselor | 3211 W 20th St Ste D, Greeley, CO 80634-6566 | 2010-06-09 |
1972512010 | Antoinette Joyce Pasquale | Counselor | 3211 W 20th St Ste D, Greeley, CO 80634-6566 | 2006-08-07 |
1033132543 | Jeffrey B Huff | Psychiatry & Neurology | 3211 W 20th St Ste D, Greeley, CO 80634-6566 | 2006-07-25 |
1104848571 | Mary Catherine Frantz | Clinical Nurse Specialist | 3211 W 20th St Ste D, Greeley, CO 80634-6566 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
Find all providers in zip 80634 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
1023544277 | Paula Riggs | Psychiatry & Neurology | 12469 East 17th Place, Building 400, Aurora, CO 80045 | 2017-05-10 |
1205254182 | Elizabeth Fenstermacher | Psychiatry & Neurology | 777 Bannock St Dept Of, Denver, CO 80204-4507 | 2014-03-28 |
1467725333 | Gordon King Farley | Psychiatry & Neurology | 12015 E 46th Ave Ste 500, Denver, CO 80239-3133 | 2012-02-22 |
1669759510 | Foster Winfield Cline Jr. | Psychiatry & Neurology | 5910 S Jellison St, Littleton, CO 80123-3526 | 2011-11-07 |
1548490287 | Jadon Ray Webb | Psychiatry & Neurology | 26 W Dry Creek Cir Ste 710, Littleton, CO 80120-8065 | 2009-07-15 |
1285879130 | Kristine Rasmussen Dangremond | Psychiatry & Neurology | 2950 Professional Place Suite 115, Pueblo, CO 81004 | 2008-12-06 |
1356500292 | Susan Mary Vanscoyk-simon | Psychiatry & Neurology | 1616 17th Street Suite 578, Denver, CO 80202 | 2008-06-05 |
1316113947 | Elaine Ann Sandler | Psychiatry & Neurology | 30772 Southview Dr Ste 150, Evergreen, CO 80439-2216 | 2008-05-04 |
1114118742 | Adam S Burstein | Psychiatry & Neurology | 1731 E 16th Ave, Denver, CO 80218-1628 | 2007-08-08 |
Find all providers with the same taxonomy |
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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.