MR. TIMOTHY RALPH JOHNSON (NPI# 1871827220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871827220 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY RALPH JOHNSON |
| Credential | PA-C |
| Practice Address |
2014 N Citrus Rd Goodyear AZ 85338 |
| Mailing Address |
17166 W Cottonwood St Surprise AZ 85388-1203 |
| Practice Telephone | 6238530304 |
| Mailing Telephone | 6235440462 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3698 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992363089 | Timothy Harold Johnson | Registered Nurse | 9209 Seminole Blvd Unit 209, Seminole, FL 33772-3142 | 2019-06-03 |
| 1689139354 | Timothy Edward Johnson | Behavioral Analyst | 1075 N Main Street, Chelsea, MI 48118 | 2019-02-06 |
| 1942721600 | Timothy Byron Johnson | Dentist | 510 N Dacie Pt, Lecanto, FL 34461-8398 | 2017-07-03 |
| 1598208944 | Timothy M Johnson | Contractor | 2637 Pine Tree Dr, Miramar, FL 33023 | 2016-12-02 |
| 1982085247 | Timothy Brian Johnson | Obstetrics & Gynecology | 9730 S Western Ave Ste 100, Evergreen Park, IL 60805-2853 | 2015-06-12 |
| 1942618574 | Timothy Johnson | Pharmacist | 350 Moapa Valley Boulevard, Overton, NV 89040 | 2014-07-28 |
| 1487999033 | Timothy Johnson | Hearing Instrument Specialist | 920 N Telshor Blvd Ste A, Las Cruces, NM 88011-8279 | 2012-12-10 |
| 1649555392 | Timothy Bogart Johnson | Counselor | 3785 E Sunset Rd Ste 10, Las Vegas, NV 89120-6260 | 2011-10-13 |
| 1548578248 | Timothy Leroy Johnson | Marriage & Family Therapist | 3650 S Pointe Cir Ste 208, Laughlin, NV 89029 | 2010-09-16 |
| 1437463742 | Timothy Lee Johnson | Counselor | 3100 Rhett Ct, Charlotte, NC 28273-3660 | 2010-07-28 |
| Street Address |
2014 N CITRUS RD |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639667405 | Craig M Tambatamba | Physician Assistant | 16064 W Williams St, Goodyear, AZ 85338-3494 | 2018-04-27 |
| 1366695470 | Trent Wilson Knight | Physician Assistant | 700 N Estrella Pkwy Ste 145, Goodyear, AZ 85338-9329 | 2008-11-03 |
| 1013187301 | Nakia Lashawn Brooks | Physician Assistant | 14200 Celebrate Life Way, Goodyear, AZ 85338-2539 | 2008-03-03 |
| 1255426870 | Kelli Ann Mercado | Physician Assistant | 2700 N 140th Ave Ste 107, Goodyear, AZ 85395-2439 | 2006-10-03 |
| 1962059279 | Wv Medical Group LLC | Physician Assistant | 3301 N Litchfield Rd Ste 200, Goodyear, AZ 85395-3197 | 2019-08-21 |
| 1235691155 | Cassie Woods | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2019-04-01 |
| 1346729696 | Brooklynne Frederick Goss | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2018-08-08 |
| 1831676980 | Lisa Jacqueline Kovacevic | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2018-07-22 |
| 1073039947 | Katrina Carbonell Aquino | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2017-08-22 |
| 1073039186 | Thomas Landon Helm | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2017-08-21 |
| Find all providers in GOODYEAR | ||||
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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.