TERRY L JOHNSON (NPI# 1861582561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861582561 |
| Entity Type | Individual |
| Full Name | TERRY L JOHNSON |
| Credential | M.D. |
| Practice Address |
3506 Buchanan St Suite B Wichita Falls TX 76308-1856 |
| Practice Telephone | 9406961600 |
| Practice Fax Number | 9406961665 |
| Mailing Telephone | 9406961600 |
| Mailing Fax Number | 9406961665 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | J5795 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1205122-05 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629384441 | Terry David Johnson | Specialist | 954 Anderson Dr Ste 101b, Aberdeen, WA 98520-1001 | 2010-08-31 |
| 1114243961 | Terry Ann Johnson | Licensed Practical Nurse | 3535 State Route 602, Bucyrus, OH 44820-9631 | 2010-04-18 |
| 1518192327 | Terry Lynn Johnson | Military Health Care Provider | Spangdahlem Ab, 52 Mdos Unit 3865, Apo, AE 09126 | 2009-05-22 |
| 1902022981 | Terry David Johnson | Pharmacist | 1705 Us Highway 51 and 138, Stoughton, WI 53589-1907 | 2007-04-18 |
| 1750465845 | Terry G Johnson | Optometrist | 210 Us Highway 27 N, Avon Park, FL 33825-3073 | 2006-10-25 |
| 1548379381 | Terry A Johnson | Family Medicine | 715 W Emmitt Ave, Waverly, OH 45690-1015 | 2006-08-29 |
| 1730167651 | Terry D Johnson | Family Medicine | 2550 Elms Center Rd, North Charleston, SC 29406-9844 | 2006-01-03 |
| 1780152124 | Terry Scott Johnson Jr. | Counselor | 10630 Little Patuxent Pkwy Ste 209, Columbia, MD 21044-6278 | 2018-11-04 |
| 1932618618 | Terry Lynn Johnson | Counselor | 1939 S Division Ave, Grand Rapids, MI 49507 | 2017-09-25 |
| 1790143998 | Terry Scott Johnson | Pharmacist | 216 Washburne Ave, Paynesville, MN 56362-1643 | 2016-02-02 |
| Street Address |
3506 BUCHANAN ST SUITE B |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76308-1856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649267154 | Karin G Ayer | Pediatrics | 3506 Buchanan St, Suite B, Wichita Falls, TX 76308-1856 | 2005-09-29 |
| 1134472079 | Lisa Michelle Holinbeck | Nurse Practitioner | 3506 Buchanan St, Wichita Falls, TX 76308-1856 | 2012-10-16 |
| 1578726691 | Jacob Kaiser | Pediatrics | 3506 Buchanan St, Wichita Falls, TX 76308-1856 | 2008-07-09 |
| 1376633081 | Terry L. Johnson, M.d., P.a. | Pediatrics | 3506 Buchanan St, Suite B, Wichita Falls, TX 76308-1856 | 2006-10-13 |
| 1881786440 | Nicole Sue Hooper | Nurse Practitioner | 3506 Buchanan St, Wichita Falls, TX 76308-1856 | 2006-09-29 |
| 1194762773 | Amitha K Kadakol | Pediatrics | 3506 Buchanan St, Wichita Falls, TX 76308-1856 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098434 | D Esthetique Cosmetic &laser Center | Nurse Practitioner | 3916 Callfield Road, Suite 300, Wichita Falls, TX 76308 | 2019-11-25 |
| 1295229029 | Wichita Falls Snf LLC | Skilled Nursing Facility | 4810 Kemp Boulevard, Wichita Falls, TX 76308 | 2018-06-15 |
| 1891295465 | Kelli Dawn Francis | Licensed Vocational Nurse | 4401 Randel, Wichita Falls, TX 76308 | 2018-02-20 |
| 1548789639 | Team Thin and Fit, Pllc | Preventive Medicine | 3602 Grant Street, Wichita Falls, TX 76308 | 2017-09-11 |
| 1972025807 | Louann Whittington | Counselor | 2211 Midwestern Pkwy Ste 2, Wichita Falls, TX 76308 | 2017-07-12 |
| 1487180428 | Metx, LLC | Audiologist-Hearing Aid Fitter | 2911 Bob Ave, Wichita Falls, TX 76308 | 2017-05-11 |
| 1013450295 | Tonya Doyle | Specialist/Technologist, Other | 9 Red Bluff, Wichita Falls, TX 76308 | 2016-11-21 |
| 1851847693 | Wichita Falls Emergency Center, LLC | Clinic/Center | 4121 Southwest Parkway, Wichita Falls, TX 76308 | 2016-08-31 |
| 1053710376 | Baylor County Hospital District | Skilled Nursing Facility | 4810 Kemp Blvd, Wichita Falls, TX 76308 | 2014-08-22 |
| 1386910065 | Family Dentistry of Texoma | Dentist | 4506 Kemp Blvd., Wichita Falls, TX 76308 | 2012-03-28 |
| Find all providers in zip 76308 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295039816 | Carter Frank Rubane | Pediatrics | 1504 Hayes St., Wichita Falls, TX 76309-2138 | 2010-12-23 |
| 1689831414 | Dana Ray Mills | Pediatrics | 2000 Kell Blvd, Wichita Falls, TX 76301-5528 | 2008-05-20 |
| 1164516183 | Gadam M. Rao,md,pa | Pediatrics | 1718 10th Street, Wichita Falls, TX 76301 | 2006-10-03 |
| 1649267154 | Karin G Ayer | Pediatrics | 3506 Buchanan St, Suite B, Wichita Falls, TX 76308-1856 | 2005-09-29 |
| 1811981327 | Lawrence D Lyford | Pediatrics | 200 Mlk Jr Blvd, Wichita Falls, TX 76301-1152 | 2005-09-12 |
| 1861493231 | Jesus D Ucol | Pediatrics | 1718 10th St, Ste A, Wichita Falls, TX 76301-5053 | 2005-08-09 |
| 1255788550 | Adam Robert Schwalm | Pediatrics | 501 Midwestern Pkwy E, Wichita Falls, TX 76302-2302 | 2016-05-17 |
| 1023374949 | Lauren P Hayley | Pediatrics | 501 Midwestern Pkwy E, Wichita Falls, TX 76302-2302 | 2012-04-04 |
| 1790071488 | Jennifer Cabler | Pediatrics | 501 Midwestern Pkwy E, Wichita Falls, TX 76302-2302 | 2011-06-22 |
| 1578726691 | Jacob Kaiser | Pediatrics | 3506 Buchanan St, Wichita Falls, TX 76308-1856 | 2008-07-09 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76308 |
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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.