LARRY WAYNE JOHNSON (NPI# 1932183043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932183043 |
| Entity Type | Individual |
| Full Name | LARRY WAYNE JOHNSON |
| Credential | M.D. |
| Practice Address |
1015 Garden Lake Pkwy Toledo OH 43614-2779 |
| Practice Telephone | 4193835500 |
| Practice Fax Number | 4193835575 |
| Mailing Telephone | 4193835500 |
| Mailing Fax Number | 4193835575 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2012-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35043619 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0418793 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367032 | Larry R Johnson Jr. | Registered Nurse | 5011 State Rd, Fort Gratiot, MI 48059-2909 | 2018-12-16 |
| 1093103491 | Larry Johnson Sr. | Private Vehicle | 600 Lake Air Dr, Suite 3a, Waco, TX 76710-5887 | 2015-01-07 |
| 1578981262 | Larry Johnson | Pharmacist | 18928 Auberry Rd, Clovis, CA 93619-9641 | 2014-03-31 |
| 1841588316 | Larry Brian Johnson | Pharmacist | 37435 Main St, Burney, CA 96013-4372 | 2011-07-18 |
| 1396983888 | Larry Wayne Johnson | Specialist | 9570 Ridgehaven Ct, Suite C, San Diego, CA 92123-1667 | 2009-01-22 |
| 1669448155 | Larry Dean Johnson | Chiropractor | 413 Ne Van Loon Ln, #126, Cape Coral, FL 33909-2525 | 2006-02-24 |
| 1275514911 | Larry Hugh Johnson | Family Medicine | 7643 Oak Park Pl Nw, Bremerton, WA 98311-9175 | 2005-11-09 |
| 1487203477 | Larry Darnell Johnson | Social Worker | 1030 5th Ave Se Ste 3000, Cedar Rapids, IA 52403-2416 | 2019-09-11 |
| 1902370281 | Larry D Johnson | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2019-01-19 |
| 1417423468 | Larry Johnson | Case Manager/Care Coordinator | 4348 S Jeffrey Dr Ste 102, Baton Rouge, LA 70816-4196 | 2018-10-17 |
| Street Address |
1015 GARDEN LAKE PKWY |
| City | TOLEDO |
| State | OH |
| Zip Code | 43614-2779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942635065 | Andrea Marie Wolak | Respiratory Therapist, Registered | 1015 Garden Lake Pkwy, Toledo, OH 43614-2779 | 2013-09-09 |
| 1144532284 | Misty Marie Walters | Physical Therapist | 1015 Garden Lake Pkwy, Toledo, OH 43614-2779 | 2010-07-06 |
| 1215110994 | Garden II Leasing Co., LLC | General Acute Care Hospital | 1015 Garden Lake Pkwy, Toledo, OH 43614-2779 | 2007-12-17 |
| 1659311405 | Medical College of Ohio Physicians, LLC | Family Medicine | 1015 Garden Lake Pkwy, Toledo, OH 43614-2779 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
| 1902417926 | Heather Louise Perne | Nurse Practitioner | The University of Toledo Medical Center, 3000 Arlington Ave, Toledo, OH 43614 | 2020-08-13 |
| 1750910188 | Joseph Nabil Said Kamel | Student in an Organized Health Care Education/Training Program | 3120 Glendale Ave Ste L, Toledo, OH 43614 | 2020-04-07 |
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1154983120 | Yong Woo Jeon | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614 | 2019-06-30 |
| 1093372096 | Anwer Aldhaheri | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Ms 1095, Dowling Hall, Room 2153a, Toledo, OH 43614 | 2019-05-24 |
| 1073090205 | Syed Fahmeed Imam | Student in an Organized Health Care Education/Training Program | Ruppert Health Center, 3125 Transvers Dr, Toledo, OH 43614 | 2018-07-20 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| Find all providers in zip 43614 | ||||
| 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 |
|---|---|---|---|---|
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1346724184 | Accupuncture Center of Toledo LLC | Family Medicine | 4739 Monroe St Ste B, Toledo, OH 43623-4342 | 2018-09-18 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1659862704 | At Home Physicians Group | Family Medicine | 211 N Reynolds Rd, Toledo, OH 43615-5200 | 2018-05-24 |
| 1538695705 | Tarik Afnoukh | Family Medicine | 3454 Oak Alley Ct Ste 214, Toledo, OH 43606-1370 | 2017-05-10 |
| 1851826671 | Alexander Lapka | Family Medicine | 2865 N Reynolds Rd Ste 170, Toledo, OH 43615-2076 | 2017-04-30 |
| 1689094070 | Shereen Louka | Family Medicine | 2213 Cherry St Unit 1c, Toledo, OH 43608-2603 | 2014-04-23 |
| 1053738096 | Mohammad Alaa Abdulrasool Sr. | Family Medicine | 1425 Oak Hill Ct Apt 36, Toledo, OH 43614-2549 | 2014-03-27 |
| 1619394087 | Karen Striph | Family Medicine | 6846 Cloister Rd, Toledo, OH 43617-2204 | 2014-03-24 |
| 1104262906 | Visiting Medical Specialists of Ohio Inc | Family Medicine | 2718 Centennial Rd, Toledo, OH 43617-1829 | 2013-05-20 |
| Find all providers in TOLEDO | ||||
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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.