ANTHONY T JOHNSON (NPI# 1912918772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912918772 |
| Entity Type | Individual |
| Full Name | ANTHONY T JOHNSON |
| Credential | MD |
| Practice Address |
102 Mandan Ave Mandan ND 58554-3771 |
| Mailing Address |
Po Box 5501 Bismarck ND 58506-5501 |
| Practice Telephone | 7016675000 |
| Practice Fax Number | 7013235709 |
| Mailing Telephone | 7013236000 |
| Mailing Fax Number | 7013235709 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 7321 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 18610 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893676 | Anthony Johnson | Massage Therapist | 25350 Us Highway 19 N Apt 212, Clearwater, FL 33763-2125 | 2020-08-29 |
| 1396391181 | Anthony Johnson | Developmental Therapist | 57 King St Apt 3, Worcester, MA 01610-2491 | 2019-08-16 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1174034565 | Anthony Eugene Johnson | Nurse Practitioner | 905 Sw 38th St, Moore, OK 73160-9409 | 2017-10-12 |
| 1992101893 | Anthony Earl Johnson | Registered Nurse | 121 N Greenwood Ave, Suite B, Tulsa, OK 74120-1444 | 2014-11-05 |
| 1992054886 | Anthony Lorne Johnson | Massage Therapist | 1330 Nw 6th St Suite A, Gainesville, FL 32601 | 2012-09-06 |
| 1407105547 | Anthony William Johnson | Physician Assistant | 1094 S Blair St, Salt Lake City, UT 84111-4703 | 2012-09-05 |
| 1942569272 | Anthony Johnson | Rehabilitation Practitioner | 5904 Montecito Way, Las Vegas, NV 89108-4851 | 2012-05-07 |
| 1760632160 | Anthony Gerard Johnson | Clinical Pharmacology | 116 Grays Ln, Haverford, PA 19041-1747 | 2008-09-23 |
| 1063522811 | Anthony Gerard Johnson | Psychiatry & Neurology | 22 Charlotte Dr, New Orleans, LA 70122-2532 | 2006-08-30 |
| Street Address |
102 MANDAN AVE |
| City | MANDAN |
| State | ND |
| Zip Code | 58554-3771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730109257 | Angela S Dornacker | Family Medicine | 102 Mandan Ave, Mandan, ND 58554-3771 | 2006-07-20 |
| 1982235610 | Elizabeth Smith | Counselor | 102 Mandan Ave, Mandan, ND 58554-3771 | 2020-01-31 |
| 1528577814 | Amanda Jean Kouba | Social Worker | 102 Mandan Ave, Mandan, ND 58554-3771 | 2017-09-29 |
| 1316397490 | Jenna Meldahl | Nurse Practitioner | 102 Mandan Ave, Mandan, ND 58554-3771 | 2016-06-20 |
| 1063853711 | Meghan Hendrickson | Family Medicine | 102 Mandan Ave, Mandan, ND 58554-3771 | 2013-07-10 |
| 1194889063 | Medcenter One Inc | Family Medicine | 102 Mandan Ave, Mandan, ND 58554-3771 | 2006-12-21 |
| 1942308614 | Thomas A Thorson | Family Medicine | 102 Mandan Ave, Mandan, ND 58554-3771 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548782790 | 1150 Group Home | Intermediate Care Facility, Mentally Retarded | 1150 N. Collins Aveue, Mandan, ND 58554 | 2017-07-10 |
| 1871029033 | Anthony Kozojed | Case Manager/Care Coordinator | 701 16th Ave Se, Mandan, ND 58554 | 2017-05-10 |
| 1437690609 | 1140 Grouphome | Intermediate Care Facility, Mentally Retarded | 1140 Collins Ave, Mandan, ND 58554 | 2017-03-20 |
| 1497157895 | West River Head Start | Public Health or Welfare | 1004 7th St Nw, Mandan, ND 58554 | 2014-09-17 |
| 1093134017 | St. Alexius Mandan Pharmacy, LLC | Pharmacy | 2500 Sunset Drive Nw, Suite 2, Mandan, ND 58554 | 2014-04-08 |
| 1639501141 | Lakewood Landing, Inc. | Assisted Living Facility | 4401 21st St Se, Mandan, ND 58554 | 2013-08-07 |
| 1578835641 | Hit Inc. 1301 Grouphome | Intermediate Care Facility, Mentally Retarded | 1301 7th Ave Se, Mandan, ND 58554 | 2012-02-03 |
| 1689953036 | Timothy Lee Ulledahl | Physical Therapy Assistant | 1833 East Bismarck Expressway, Bismarck, ND 58554 | 2011-08-16 |
| 1316232887 | Nagel Family Chiropractic and Wellness LLC | Chiropractor | 2008 Twin City Drive, Mandan, ND 58554 | 2011-06-13 |
| 1598062143 | 1201 Grouphome | Intermediate Care Facility, Mentally Retarded | 1201 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
| Find all providers in zip 58554 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215048277 | Dale A Klein | Family Medicine | 910 18th St Nw, Mandan, ND 58554-1612 | 2006-08-31 |
| 1730109257 | Angela S Dornacker | Family Medicine | 102 Mandan Ave, Mandan, ND 58554-3771 | 2006-07-20 |
| 1245284314 | Laura Archuleta | Family Medicine | 2500 Sunset Drive Nw, Mandan, ND 58554 | 2006-05-21 |
| 1134188121 | Boyd F Addy | Family Medicine | 2008 Twin City Dr, Mandan, ND 58554 | 2006-03-20 |
| 1063853711 | Meghan Hendrickson | Family Medicine | 102 Mandan Ave, Mandan, ND 58554-3771 | 2013-07-10 |
| 1902247703 | Scot Mickelson | Family Medicine | 2500 Sunset Dr, Mandan, ND 58554-1540 | 2013-07-10 |
| 1457607632 | Sadaf Yousuf | Family Medicine | 910 18th St Nw, Mandan, ND 58554-1612 | 2012-07-25 |
| 1285798157 | Medcenter One Inc | Family Medicine | 910 18th St Nw, Mandan, ND 58554-1612 | 2006-12-21 |
| 1194889063 | Medcenter One Inc | Family Medicine | 102 Mandan Ave, Mandan, ND 58554-3771 | 2006-12-21 |
| 1790855252 | Darwin K Lange | Family Medicine | 910 18th St Nw, Mandan, ND 58554-1612 | 2006-11-09 |
| Find all providers in MANDAN | ||||
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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.