DR. DERICK MICHAEL JOHNSON (NPI# 1972768232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972768232 |
Entity Type | Individual |
Full Name | DR. DERICK MICHAEL JOHNSON |
Credential | D.O. |
Practice Address |
3299 N Wellness Dr Bldg C, #150 Holland MI 49424-7269 |
Practice Telephone | 6167383884 |
Practice Fax Number | 6167384432 |
Mailing Telephone | 6167383884 |
Mailing Fax Number | 6167384432 |
Enumeration Date | 2008-07-25 |
Last Update Date | 2014-07-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | L1206639 | MI | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | 0102202412 | VA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 58.001489 | OH | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | LICENSE | 0102202412 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124303268 | Derick Lynn Johnson | Pharmacist | 14302 Fm 2920 Rd, Tomball, TX 77377-5504 | 2011-10-20 |
Street Address |
3299 N WELLNESS DR BLDG C, #150 |
City | HOLLAND |
State | MI |
Zip Code | 49424-7269 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982646949 | Michael Adam Kremer | Neurological Surgery | 3299 N Wellness Dr, Bldg C, Suite 240, Holland, MI 49424-7269 | 2006-06-12 |
1093943771 | Courtney Erickson-adams | Family Medicine | 3299 N Wellness Dr, Suite 150, Holland, MI 49424-7269 | 2009-07-01 |
1326281494 | Holland Community Hospital | Orthopaedic Surgery | 3299 N Wellness Dr, Building C Suite 150, Holland, MI 49424-7269 | 2009-04-19 |
1477710952 | M. Adam Kremer, M.d., Plc | Neurological Surgery | 3299 N Wellness Dr, Building C, Suite 240, Holland, MI 49424-7269 | 2008-05-21 |
1639390875 | Mark N Folkening Md PC | Family Medicine | 3299 N Wellness Dr, Ste 150, Holland, MI 49424-7269 | 2007-05-02 |
1578650123 | David W Lowry | Neurological Surgery | 3299 N Wellness Dr, Building C, Suite 240, Holland, MI 49424-7269 | 2006-10-06 |
1568559086 | Scott M Tuinstra | Physician Assistant | 3299 N Wellness Dr, Building C; Suite 240, Holland, MI 49424-7269 | 2006-10-06 |
1831284561 | Brindy Lynn Skinner | Specialist/Technologist | 3299 N Wellness Dr, Holland, MI 49424-7269 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
Find all providers in zip 49424 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518249820 | Frederick Joseph Shiple | Orthopaedic Surgery | 8629 Quail Hollow Ct, Holland, OH 43528-9247 | 2011-09-13 |
1952544876 | Theodore Anthony Kostiuk Iv | Orthopaedic Surgery | 370 N 120th Ave Ste 20, Holland, MI 49424-2196 | 2009-04-07 |
1356393060 | Daniel A Dethmers | Orthopaedic Surgery | 958 S Shore Dr, Holland, MI 49423-4539 | 2006-05-17 |
1710987870 | Joel R Wolfe | Orthopaedic Surgery | 370 120th Ave, Holland, MI 49424-2196 | 2005-07-29 |
1215166913 | John Swartz | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2009-07-02 |
1326281494 | Holland Community Hospital | Orthopaedic Surgery | 3299 N Wellness Dr, Building C Suite 150, Holland, MI 49424-7269 | 2009-04-19 |
1134361033 | Brian W. Paff | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2009-03-24 |
1073768917 | Bruce Andrew Stewart | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424 | 2008-11-19 |
1053561449 | Mark Edward Jacobson | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2008-09-23 |
1285842468 | John I Khoury | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2007-05-19 |
Find all providers in HOLLAND |
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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.