TIMOTHY JOHNSON (NPI# 1912913807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912913807 |
Entity Type | Individual |
Full Name | TIMOTHY JOHNSON |
Credential | PA |
Practice Address |
1301 W Frank Ave Lufkin TX 75904-3305 |
Mailing Address |
2602 Tulane Dr Lufkin TX 75901-7246 |
Practice Telephone | 9366332758 |
Mailing Telephone | 9366371439 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA02448 | TX | 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 |
1301 W FRANK AVE |
City | LUFKIN |
State | TX |
Zip Code | 75904-3305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134140049 | Gloria Cervantes Lamkin | Social Worker | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-07-23 |
1952554594 | Jamie Lou Sirman | Registered Nurse | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2008-10-28 |
1295904738 | Judy Batson | Pharmacist | 1301 W Frank Ave, Cwop Va Clinic, Lufkin, TX 75904-3305 | 2008-02-28 |
1336248004 | Valerie June Johnston | Registered Nurse | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-09-21 |
1447367214 | Charles Wilson V.a. Outpatient Clinic | Clinic/Center | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-25 |
1306950787 | Carey Lynn Smith | Dietitian, Registered | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-19 |
1851405237 | Myrtle Ruth Welch | Registered Nurse | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-19 |
1598878175 | Sondra Louise Khalil | Internal Medicine | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-16 |
1134232358 | Barbara Jane Baker | Registered Nurse | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-15 |
1689682759 | John Edward Mullen | Physician Assistant | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
Find all providers in zip 75904 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528137833 | Mark Andrew Saldana | Physician Assistant | 1111 W Frank Ave Ste 100, Lufkin, TX 75904-3390 | 2006-11-08 |
1184719486 | Robert A Young Jr. | Physician Assistant | 4313 Daniel Mccall Dr, Lufkin, TX 75904-0819 | 2006-10-03 |
1962511899 | Eric Christopher True | Physician Assistant | 1503 Hanks St, Lufkin, TX 75904-5411 | 2006-08-30 |
1700813516 | Courtney Hanna Goodman | Physician Assistant | 10 Medical Center Blvd Ste I, Lufkin, TX 75904-3163 | 2006-06-27 |
1194024703 | Judy-ann Marie Acosta | Physician Assistant | 10 Medical Center Blvd Ste A, Lufkin, TX 75904-3163 | 2011-03-22 |
1255437893 | Robert M Standerford | Physician Assistant | 1105 W Frank Ave, Ste. 290, Lufkin, TX 75904-3303 | 2006-09-14 |
1417969007 | Michael O'dell | Physician Assistant | 208 Gaslight Blvd, Lufkin, TX 75904-3166 | 2006-08-12 |
1578572152 | Shane Howatt | Physician Assistant | 1702 E Denman Ave, Lufkin, TX 75901-6110 | 2006-08-05 |
1689682759 | John Edward Mullen | Physician Assistant | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
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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.