DR. KEITH A JOHNSON (NPI# 1841263159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841263159 |
| Entity Type | Individual |
| Full Name | DR. KEITH A JOHNSON |
| Credential | MD |
| Practice Address |
33 Fruit St Mass General Physican Organization Boston MA 02114-2621 |
| Mailing Address |
Po Box 9142 Mass General Physican Organization Charlestown MA 02129-9142 |
| Practice Telephone | 6177247066 |
| Practice Fax Number | 6177265123 |
| Mailing Telephone | 6177247066 |
| Mailing Fax Number | 6177265123 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2014-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
50853 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 6187668 | 05 | |
| MA | TUFTS HEALTH PLAN | 705161 | 01 |
| MA | BCBS MA | J04057 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
| 1780937821 | Keith Michael Johnson | Counselor | 16812 127th Ave, Apt # 7e, Jamaica, NY 11434-3152 | 2012-10-25 |
| 1467628792 | Keith Emery Johnson | General Practice | 1111 Quewhiffle Rd, Aberdeen, NC 28315-5377 | 2008-05-06 |
| 1336330810 | Keith David Johnson | Dentist | 26 S Village Dr, Liberty, MO 64068 | 2007-08-08 |
| 1952529133 | Keith E Johnson | Dentist | 13270 Big Basin Way, Boulder Creek, CA 95006 | 2007-04-23 |
| 1700929031 | Keith Vincent Johnson | Specialist/Technologist | 13 Fahnestock Rd, Malvern, PA 19355-2104 | 2007-02-15 |
| 1972669646 | Keith Johnson | Physical Therapist | 2301 Morningside Dr, Jonesboro, AR 72404-8050 | 2006-12-28 |
| 1467514588 | Keith W.v. Johnson | Orthopaedic Surgery | 6701 Lake Woodlands Dr, 101, The Woodlands, TX 77382-2566 | 2006-12-14 |
| 1568553147 | Keith Michael Johnson | Chiropractor | 13700 83rd Way N, #200, Maple Grove, MN 55369-7015 | 2006-09-27 |
| 1487616967 | Keith Patrick Johnson | Specialist | 85 Harristown Road, Suite 103, Glen Rock, NJ 07452 | 2006-04-03 |
| Street Address |
33 FRUIT ST MASS GENERAL PHYSICAN ORGANIZATION |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626324 | Mary Jane Lim Fat | Psychiatry & Neurology | 450 Brookline Ave Dept Dana2, Boston, MA 02215-5418 | 2018-07-23 |
| 1801256094 | Lincoln S Darla X | Psychiatry & Neurology | 260 Tremont Street 2nd Floor, Tufts Medical Center, Biewend Building, Boston, MA 02111 | 2016-03-01 |
| 1407261605 | Lee Sullivan | Psychiatry & Neurology | 15 Parkman St # 720, Boston, MA 02114 | 2014-06-25 |
| 1093135048 | Pria Anand | Psychiatry & Neurology | 55 Fruit St Ste 835, Boston, MA 02114-2696 | 2014-04-17 |
| 1770925976 | Ammar Kheder | Psychiatry & Neurology | 55 Fruit Street, Epilepsy Service, Wang Acc 7, Massachusetts General Hospital, Boston, MA 02114 | 2013-07-29 |
| 1225477953 | Christopher T Doughty | Psychiatry & Neurology | 60 Fenwood Rd Dept Of, Boston, MA 02115 | 2013-06-16 |
| 1669815486 | Paloma Gonzalez Perez | Psychiatry & Neurology | 165 Cambridge St Fl 8, Boston, MA 02114-2747 | 2013-04-10 |
| 1417235557 | Reza Seyedsadjadi | Psychiatry & Neurology | 165 Cambridge St Ste 820, Boston, MA 02114 | 2011-07-22 |
| 1912216938 | Haythum Osama Tayeb | Psychiatry & Neurology | 55 Fruit Street (mailcode Wacc 8-835), Mass. General Hospital Dept. Neurology, Boston, MA 02114 | 2010-09-26 |
| 1508093675 | Sana Syed | Psychiatry & Neurology | 725 Shapiro, 716, Boston, MA 02118-2307 | 2009-06-16 |
| Find all providers in BOSTON | ||||
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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.