DR. MATTHEW EDWARD JOHNSON (NPI# 1952612020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952612020 |
Entity Type | Individual |
Full Name | DR. MATTHEW EDWARD JOHNSON |
Credential | M.D. |
Practice Address |
607 S New Ballas Rd Suite T1275 Saint Louis MO 63141-8222 |
Mailing Address |
11475 Olde Cabin Rd Suite 200 Saint Louis MO 63141-7128 |
Practice Telephone | 3142516844 |
Practice Fax Number | 3142514337 |
Mailing Telephone | 3149918200 |
Mailing Fax Number | 3145691787 |
Enumeration Date | 2010-06-23 |
Last Update Date | 2017-04-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036140409 | IL | Allopathic & Osteopathic Physicians |
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2015001562 | MO | Allopathic & Osteopathic Physicians |
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD446623 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1952612020 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
Street Address |
607 S NEW BALLAS RD SUITE T1275 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63141-8222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104813633 | Nishan Chobanian Jr. | Obstetrics & Gynecology | 607 S New Ballas Rd, Saint Louis, MO 63141-8222 | 2005-09-30 |
1861814386 | Bethany Sleckman | Internal Medicine | 607 S New Ballas Rd, Suite 3425, Saint Louis, MO 63141-8222 | 2014-01-17 |
1972827673 | Melissa Shepard | Physical Therapist | 607 S New Ballas Rd, Saint Louis, MO 63141-8222 | 2010-03-24 |
1912160052 | Gregory Mclennan | Surgery | 607 S New Ballas Rd, Suite 3100, Saint Louis, MO 63141-8222 | 2008-07-09 |
1497936231 | Jeffrey Michael Craft | Radiology | 607 S New Ballas Rd, Suite T1275, Saint Louis, MO 63141-8222 | 2007-11-20 |
1669671541 | Mercy Clinic Gyn Oncology, LLC | Obstetrics & Gynecology | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-8219 | 2007-07-12 |
1780880633 | Gautum Agarwal | Urology | 607 S New Ballas Rd, Suite 3100, Saint Louis, MO 63141-8222 | 2007-06-26 |
1104038249 | Shaun C Donegan | Internal Medicine | 607 S New Ballas Rd, Suite 3300, Saint Louis, MO 63141-8222 | 2007-05-03 |
1023236700 | Rebecca Adams | Speech-Language Pathologist | 607 S New Ballas Rd, Suite 2300, Saint Louis, MO 63141-8222 | 2007-04-20 |
1336264332 | Kathy Y Beavers | Physician Assistant | 607 S New Ballas Rd, Suite 2300, Saint Louis, MO 63141-8219 | 2007-03-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
Find all providers in zip 63141 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336338912 | Joseph Fields | Radiology | 9 Heather Hill Ln, Saint Louis, MO 63132-4105 | 2007-10-18 |
1932170859 | Eric Sutphen | Radiology | 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 | 2006-01-30 |
1265044804 | Genesiscare Landmark Missouri Cancer Care PC | Radiology | 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 | 2020-08-17 |
1417516188 | Joshua Philip Schiff | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-06-06 |
1952969768 | William Chun Yip Lo | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-06-05 |
1205399847 | Mustafaa Saleem Mahmood | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-04-10 |
1831651496 | Hayley Stowe | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-04-03 |
1023513728 | James Scott Cordova | Radiology | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2018-03-26 |
1467824649 | Pro Physicians Clinic Pa | Radiology | 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 | 2015-10-27 |
1962898759 | Alexander Justin Lin | Radiology | 4921 Parkview Pl, Ll, Saint Louis, MO 63110-1032 | 2015-04-08 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63141 |
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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.