DONALD RUSSELL JOHNSON MD PHD (NPI# 1871892786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871892786 |
| Entity Type | Organization |
| Organization Name | DONALD RUSSELL JOHNSON MD PHD |
| Practice Address |
209 Moller Ave Sitka AK 99835-7142 |
| Mailing Address |
Po Box 50150 Bellevue WA 98015-0150 |
| Practice Telephone | 9077473241 |
| Mailing Telephone | 4252285228 |
| Mailing Fax Number | 4252285733 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | DONALD RUSSELL JOHNSON (OWNER) |
| Authorized Official Telephone | 3605881480 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
209 MOLLER AVE |
| City | SITKA |
| State | AK |
| Zip Code | 99835-7142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581084 | Sitka Community Hospital | Family Medicine | 209 Moller Ave, Sitka, AK 99835-7142 | 2005-07-11 |
| 1356901961 | Southeast Alaska Regional Health Consortium | Skilled Nursing Facility | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1265092878 | Southeast Alaska Regional Health Consortium | Home Health | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1790345304 | Southeast Alaska Regional Health Consortium | Clinic/Center | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1184281685 | Cheryl Large Lobdell | Physical Therapy Assistant | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-05-21 |
| 1619341237 | Sara Bergendahl | Physical Therapist | 209 Moller Ave, Sitka, AK 99835-7142 | 2015-11-19 |
| 1780085381 | Sitka Community Hospital | General Acute Care Hospital | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-09-15 |
| 1558773978 | Gregory Siera | Registered Nurse | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-05-21 |
| 1033316229 | George A Burnstein Jr. | Registered Nurse | 209 Moller Ave, Sitka, AK 99835-7142 | 2007-06-29 |
| 1972729762 | Pacific Northwest Radiology LLC | Radiology | 209 Moller Ave, Sitka, AK 99835-7142 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760034045 | Swiftwater Dermatology LLC | Dermatology | 209 W Katmai Ave, Soldotna, AK 99669-7409 | 2019-07-16 |
| 1932493327 | John Schultz | Dermatology | 8501 Sultana Dr, Anchorage, AK 99516-2561 | 2011-06-03 |
| 1669669867 | Layne Bedford Green | Dermatology | 5955 Zeamer Ave Ste 1, Elmendorf Afb, AK 99506-3702 | 2007-10-02 |
| 1295881977 | Gina M Brown | Dermatology | 3340 Providence Dr Ste A358, Anchorage, AK 99508-4691 | 2007-01-26 |
| 1649212937 | Michael L Cusack | Dermatology | 110 W 38th Ave Ste A2, Anchorage, AK 99503-5677 | 2006-06-12 |
| 1154363752 | Aesthetica Medical Spa LLC | Dermatology | 110 W 38th Ave, Ste A2, Anchorage, AK 99503-5650 | 2006-06-11 |
| 1346211505 | Kimberly Janne Wonderlich | Dermatology | 2775 College Road, Fairbanks, AK 99709 | 2006-01-27 |
| 1114998473 | Jayne S Fortson, Md | Dermatology | 2401 E 42nd Ave, Ste 301, Anchorage, AK 99508-5205 | 2006-01-26 |
| 1467448662 | Michael D Michener | Dermatology | 3841 Piper St Ste T4-020, Anchorage, AK 99508-4673 | 2005-09-22 |
| 1821093550 | Valley Dermatology Center, Inc. | Dermatology | 851 Westpoint Dr, Ste B10, Wasilla, AK 99654-7191 | 2005-06-17 |
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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.