TIMOTHY JOHNSON


Address: 1301 W Frank Ave, Lufkin, TX 75904-3305
Phone: 9366332758

TIMOTHY JOHNSON (NPI# 1912913807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA02448 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers TIMOTHY JOHNSON

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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

Office Location

Street Address 1301 W FRANK AVE
City LUFKIN
State TX
Zip Code 75904-3305

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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1689202475 Theodore Inthaphom Physician Assistant 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 2020-03-29
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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
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Competitor

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City LUFKIN
Zip Code 75904

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Dataset Information

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.

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