KRISTINA ANN JOHNSON (NPI# 1841587334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841587334 |
| Entity Type | Individual |
| Full Name | KRISTINA ANN JOHNSON |
| Credential | D.O. |
| Practice Address |
9760 S Kedzie Ave Suite 2 Evergreen Park IL 60805-3109 |
| Practice Telephone | 7084236209 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2015-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
036.135368 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1033548722 | Kristina Johnson | Behavioral Analyst | 8605 Girard St, Hyattsville, MD 20785-2802 | 2013-11-04 |
| 1528313384 | Kristina Johnson | Physical Therapist | 600 Hartbrook Dr Ste 111, Hartland, WI 53029 | 2012-07-18 |
| 1720354483 | Kristina Johnson | Doula | 207 Whitney Rd, Ashby, MA 01431-2219 | 2012-03-27 |
| 1053554113 | Kristina R Johnson | Physical Medicine & Rehabilitation | 3428 36th Ave S, Minneapolis, MN 55406-2704 | 2009-04-19 |
| 1760553150 | Kristina A Johnson | Physician Assistant | 2700 1st Ave S Ste 100, Fort Dodge, IA 50501-4300 | 2006-11-10 |
| 1275142242 | Kristina Johnson | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-07-27 |
| 1396379665 | Kristina Johnson | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-02-26 |
| 1942842000 | Kristina Johnson | Social Worker | 1150 E Sherman Blvd, Muskegon, MI 49444-1871 | 2019-10-10 |
| 1801447826 | Kristina Johnson | Social Worker | 333 Church Street, Wrangell, AK 99929 | 2019-09-20 |
| Street Address |
9760 S KEDZIE AVE SUITE 2 |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306836663 | Thomas Joseph | Internal Medicine | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2005-10-26 |
| 1518445543 | Christine Najarian | Physician Assistant | 9760 S Kedzie Ave, Evergreen Park, IL 60805-3109 | 2018-08-01 |
| 1760927057 | Wellcare Pharmacy LLC | Pharmacy | 9760 S Kedzie Ave, Evergreen Park, IL 60805-3109 | 2016-12-22 |
| 1457894768 | Rachel Brucas | Physician Assistant | 9760 S Kedzie Ave, Evergreen Park, IL 60805-3109 | 2016-11-18 |
| 1033438460 | Health Solutions At Home Inc | Home Health | 9760 S Kedzie Ave, Suite 10b, Evergreen Park, IL 60805-3109 | 2010-05-25 |
| 1487987707 | Alicia Lopez | Pediatrics | 9760 S Kedzie Ave, Suite 11, Evergreen Park, IL 60805-3109 | 2009-09-18 |
| 1073746046 | George Thomas | Family Medicine | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2009-08-25 |
| 1447449616 | Evergreen Care Center Ltd | General Practice | 9760 S Kedzie Ave, Suite 3, Evergreen Park, IL 60805-3109 | 2007-10-23 |
| 1891984068 | Park Primary Care Ltd | General Practice | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2007-10-23 |
| 1740488154 | Thomas Anthony Koludrovic | Dentist | 9760 S Kedzie Ave, Suite 4, Evergreen Park, IL 60805 | 2007-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1821438185 | Marianne Hana | Family Medicine | 60 Orland Square Dr Ste 101, Orland Park, IL 60462 | 2013-07-01 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1477734150 | Sashil Singh Kapur | Family Medicine | 415 N Lasalle Street, Suite 100, Chicago, IL 60654 | 2007-11-21 |
| 1659562585 | Ketan R Mody | Family Medicine | 760 Pasquinelli Dr Ste 304, Westmont, IL 60559-1290 | 2007-08-06 |
| 1285841544 | Arthur Aragones | Family Medicine | 135 E Irving Park Rd, Streamwood, IL 60107-2950 | 2007-05-17 |
| 1003028150 | Jill Wirth-rissman | Family Medicine | 205 N Cummings Ln, Washington, IL 61571-2181 | 2007-05-03 |
| 1497838676 | Christopher Eric Cieurzo | Family Medicine | 510 Pow Mia St Bldg P40, Scott Afb, IL 62225-5020 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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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.