DR. KEITH JOHNSON (NPI# 1912966615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912966615 |
| Entity Type | Individual |
| Full Name | DR. KEITH JOHNSON |
| Credential | M.D. |
| Practice Address |
1904 Grandstand Dr Suite 400 San Antonio TX 78238-4508 |
| Mailing Address |
28409 Quadrille Ln Fair Oaks Ranch TX 78015-4633 |
| Practice Telephone | 2105208071 |
| Practice Fax Number | 2105217688 |
| Mailing Telephone | 2105208070 |
| Mailing Fax Number | 2105217688 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2011-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G3499 | TX | Allopathic & Osteopathic Physicians |
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
G3499 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
| 1780937821 | Keith Michael Johnson | Counselor | 16812 127th Ave, Apt # 7e, Jamaica, NY 11434-3152 | 2012-10-25 |
| 1467628792 | Keith Emery Johnson | General Practice | 1111 Quewhiffle Rd, Aberdeen, NC 28315-5377 | 2008-05-06 |
| 1336330810 | Keith David Johnson | Dentist | 26 S Village Dr, Liberty, MO 64068 | 2007-08-08 |
| 1952529133 | Keith E Johnson | Dentist | 13270 Big Basin Way, Boulder Creek, CA 95006 | 2007-04-23 |
| 1700929031 | Keith Vincent Johnson | Specialist/Technologist | 13 Fahnestock Rd, Malvern, PA 19355-2104 | 2007-02-15 |
| 1972669646 | Keith Johnson | Physical Therapist | 2301 Morningside Dr, Jonesboro, AR 72404-8050 | 2006-12-28 |
| 1467514588 | Keith W.v. Johnson | Orthopaedic Surgery | 6701 Lake Woodlands Dr, 101, The Woodlands, TX 77382-2566 | 2006-12-14 |
| 1568553147 | Keith Michael Johnson | Chiropractor | 13700 83rd Way N, #200, Maple Grove, MN 55369-7015 | 2006-09-27 |
| 1487616967 | Keith Patrick Johnson | Specialist | 85 Harristown Road, Suite 103, Glen Rock, NJ 07452 | 2006-04-03 |
| Street Address |
1904 GRANDSTAND DR SUITE 400 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78238-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255318473 | Kimberly Aundre' Foster | Technician, Other | 1904 Grandstand Dr, San Antonio, TX 78238-4508 | 2005-12-29 |
| 1275881286 | Patrick Steven Barker | Occupational Therapist | 1904 Grandstand Dr, San Antonio, TX 78238-4508 | 2012-08-22 |
| 1780949081 | Jamie Michelle Dunn | Physical Therapist | 1904 Grandstand Dr, Suite 400, San Antonio, TX 78238-4508 | 2012-07-12 |
| 1386936912 | Mario H Segovia | Physical Therapy Assistant | 1904 Grandstand Dr, San Antonio, TX 78238-4508 | 2011-05-16 |
| 1194041954 | Stephanie Laura Doepking | Physical Therapist | 1904 Grandstand Dr, San Antonio, TX 78238-4508 | 2010-04-19 |
| 1487876397 | Ronald Rendessy | Physical Therapist | 1904 Grandstand Dr, 400, San Antonio, TX 78238-4508 | 2007-05-02 |
| 1801916598 | Elizabeth T Ybarra | Preventive Medicine | 1904 Grandstand Dr, San Antonio, TX 78238-4508 | 2007-03-29 |
| 1932228244 | Keitha D Clayton | Physical Therapist | 1904 Grandstand Dr, San Antonio, TX 78238-4508 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1043857360 | Danielle Renee De Luna | Counselor | 5505 Lost Lane, San Antonio, TX 78238 | 2019-12-05 |
| 1013444777 | Avery Rodriguez | Physical Therapy Assistant | 5270 Bandera Rd Ste 14, San Antonio, TX 78238 | 2017-05-12 |
| 1760898894 | Silas Pimentel | Physical Therapist | 5720 Bandera Rd Ste 14, San Antonio, TX 78238 | 2014-07-09 |
| 1942550553 | Stanley Toh Forze | Registered Nurse | 6933 Border Brk Apt 1910, San Antonio, TX 78238 | 2012-09-12 |
| 1891004032 | Texan Smile Dentistry 3 PC | Dentist | 5983 Bandera Rd., San Antonio, TX 78238 | 2010-10-06 |
| 1275847683 | Deborah Michelle Solorzano | Dentist | 5715 Evers Road, San Antonio, TX 78238 | 2010-07-28 |
| 1932436326 | Campos Family Dental, P.C. | Dentist | 6140 Wurzbach Road, San Antonio, TX 78238 | 2009-11-06 |
| 1063665495 | Benjamino L Granato | Durable Medical Equipment & Medical Supplies | 6415 Bandera, San Antonio, TX 78238 | 2008-10-29 |
| 1891962262 | Gerald L Froemming | Dentist | 6436 Bandera Road, #1, San Antonio, TX 78238 | 2008-05-14 |
| Find all providers in zip 78238 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1013421544 | Usacs Emergency Medicine Services of Texas, Pllc | Emergency Medicine | 7719 Interstate 35 S, San Antonio, TX 78224-1469 | 2017-11-20 |
| 1508384975 | Fred David Prentice | Emergency Medicine | 7 Venice Ct, San Antonio, TX 78257-1310 | 2017-09-06 |
| 1720435571 | Matthew Michael Hessel | Emergency Medicine | 3551 Roger Brooke Drive - Emergency Medicine Department, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2016-05-23 |
| 1164817946 | Roland Manuel Dimaya | Emergency Medicine | 11503 Nw Military Hwy Ste 202, San Antonio, TX 78231-1895 | 2015-03-30 |
| 1437402724 | James Richard Leininger | Emergency Medicine | 18615 Tuscany Stone, Suite 200, San Antonio, TX 78258-3502 | 2012-10-24 |
| 1982966099 | Matthew Weldon Cross | Emergency Medicine | 410 E Wildwood Dr, San Antonio, TX 78212-1758 | 2012-06-13 |
| 1518238773 | Susan Lee Howle | Emergency Medicine | 7419 Wild Eagle St, San Antonio, TX 78255-1148 | 2012-01-19 |
| 1730472135 | Christina B Lumbreras | Emergency Medicine | 6263 Valley Bay Dr, San Antonio, TX 78250-5785 | 2011-05-18 |
| 1700176773 | Bryan Mathew Thomas | Emergency Medicine | 2022 Riva Ridge St, San Antonio, TX 78248-1143 | 2011-04-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78238 |
Please comment or provide details below to improve the information on DR. KEITH 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.