GREGORY W JOHNSON (NPI# 1902887441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902887441 |
| Entity Type | Individual |
| Full Name | GREGORY W JOHNSON |
| Credential | M.D. |
| Practice Address |
2122 Health Dr Sw Ste 110 Wyoming MI 49519-9698 |
| Mailing Address |
5900 Byron Center Ave Sw Medical Administration Wyoming MI 49519-9606 |
| Practice Telephone | 6162527494 |
| Practice Fax Number | 6162527830 |
| Mailing Telephone | 6162523243 |
| Mailing Fax Number | 6162520260 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301048643 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0D16117 | 01 |
| MI | 2662954 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 245 Cherry St Se, Suite 102, Grand Rapids, MI 495034607 | 6164565311 | 6164567955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080505 | Gregory L Johnson | Student in an Organized Health Care Education/Training Program | W165n10212 Wagon Trl, Germantown, WI 53022-4747 | 2020-07-07 |
| 1780213405 | Gregory Johnson | Student in an Organized Health Care Education/Training Program | 534 S Field St, Lakewood, CO 80226-2957 | 2020-04-04 |
| 1912462789 | Gregory Johnson | Technician | 2001 15th St Nw # W1012, Washington, DC 20009-5828 | 2019-02-06 |
| 1558877134 | Gregory Wallace Johnson | Radiology | 769 W 1900 S, Woods Cross, UT 84087-1720 | 2017-12-19 |
| 1770004764 | Gregory Nathan Johnson | Physical Therapist | 200 E Idaho St Ste A, Kalispell, MT 59901-4117 | 2017-06-29 |
| 1497295349 | Gregory Johnson | Behavior Technician | 831 W Woodward Ave, Eustis, FL 32726-4562 | 2017-02-26 |
| 1205202140 | Gregory Kent Johnson | Dentist | 650 E. 25th Street, Umkc School of Dentistry, Kansas City, MO 64108 | 2015-08-14 |
| 1932507571 | Gregory Johnson | Specialist/Technologist | 7925 W Mansfield Pkwy Unit 303, Lakewood, CO 80235-1955 | 2014-12-14 |
| 1093080228 | Gregory Paul Johnson | Physical Therapist | 986 Quail Rdg, Keller, TX 76248-2925 | 2012-03-21 |
| 1588962054 | Gregory Earl Johnson | Counselor | 915 E Main St, Watonga, OK 73772-4626 | 2011-03-08 |
| Street Address |
2122 HEALTH DR SW STE 110 |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-9698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619917572 | Karlin E Sevensma Do PC | Surgery | 1009 44th St Sw, Suite 101, Wyoming, MI 49509-4480 | 2006-06-08 |
| 1821094129 | Wayne E Vanderkolk | Surgery | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 | 2005-06-22 |
| 1063907798 | Ann Jean Debartolo | Surgery | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-06-26 |
| 1982198115 | William Morgan | Surgery | 5900 Byron Center Ave Sw, Wyoming, MI 49519 | 2018-06-20 |
| 1548780844 | Mandalyn J Kautz | Surgery | 5900 Byron Center Ave Sw, Wyoming, MI 49519 | 2017-06-27 |
| 1366962128 | Emily Mckerchie | Surgery | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2017-06-22 |
| 1992156780 | Jamie Lynn Benedek Serrano | Surgery | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2016-06-23 |
| 1457702243 | Rebecca Douglass | Surgery | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2016-06-23 |
| 1538521083 | Grand Rapids Surgical Associates, Pllc | Surgery | 1009 44th St Sw, Ste 101, Wyoming, MI 49509-4480 | 2016-03-23 |
| 1154703577 | Miranda Allen | Surgery | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2015-06-22 |
| Find all providers in WYOMING | ||||
Please comment or provide details below to improve the information on GREGORY W JOHNSON.
| 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.